| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
11,630 |
8,728 |
$393K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,603 |
4,972 |
$46K |
| E0601 |
Continuous positive airway pressure (cpap) device |
815 |
620 |
$24K |
| E1392 |
Portable oxygen concentrator, rental |
3,039 |
1,988 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,689 |
3,075 |
$17K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
702 |
522 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
1,029 |
798 |
$13K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
38 |
25 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
544 |
384 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
485 |
382 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
302 |
215 |
$8K |
| A7030 |
Full face mask used with positive airway pressure device, each |
148 |
114 |
$7K |
| E0570 |
Nebulizer, with compressor |
1,263 |
805 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
426 |
320 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
78 |
56 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
75 |
49 |
$618.64 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
108 |
67 |
$104.44 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
28 |
14 |
$21.04 |