| 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 |
5,365 |
5,096 |
$248K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
1,822 |
1,704 |
$77K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,382 |
3,210 |
$36K |
| E1392 |
Portable oxygen concentrator, rental |
262 |
252 |
$2K |
| E0601 |
Continuous positive airway pressure (cpap) device |
27 |
27 |
$994.64 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
414 |
396 |
$906.08 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12 |
12 |
$600.78 |
| A7035 |
Headgear used with positive airway pressure device |
39 |
38 |
$479.79 |
| E0570 |
Nebulizer, with compressor |
29 |
26 |
$409.22 |
| A7031 |
Face mask interface, replacement for full face mask, each |
14 |
13 |
$383.63 |
| A7037 |
Tubing used with positive airway pressure device |
20 |
16 |
$298.61 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
16 |
14 |
$27.26 |