| 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 |
6,767 |
4,954 |
$321K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,271 |
3,237 |
$46K |
| E0601 |
Continuous positive airway pressure (cpap) device |
765 |
573 |
$26K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,336 |
1,002 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,216 |
1,758 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
1,111 |
790 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
329 |
212 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
278 |
214 |
$8K |
| A7030 |
Full face mask used with positive airway pressure device, each |
166 |
117 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
224 |
160 |
$2K |
| E0570 |
Nebulizer, with compressor |
401 |
252 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
119 |
83 |
$403.11 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$173.56 |