| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
597 |
592 |
$46K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
501 |
499 |
$39K |
| E0601 |
Continuous positive airway pressure (cpap) device |
361 |
347 |
$23K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
536 |
534 |
$8K |
| A7031 |
Face mask interface, replacement for full face mask, each |
191 |
191 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
76 |
75 |
$5K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
301 |
301 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
318 |
318 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,517 |
1,512 |
$4K |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
136 |
136 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
367 |
365 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
130 |
130 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
105 |
105 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
13 |
12 |
$862.94 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
13 |
$185.65 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
79 |
79 |
$127.84 |