| 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 |
1,093 |
1,084 |
$95K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,838 |
1,810 |
$80K |
| A7031 |
Face mask interface, replacement for full face mask, each |
958 |
946 |
$45K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
837 |
832 |
$31K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
512 |
508 |
$24K |
| A7030 |
Full face mask used with positive airway pressure device, each |
245 |
239 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,494 |
2,461 |
$15K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
241 |
236 |
$14K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
347 |
343 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
429 |
418 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
40 |
38 |
$2K |
| E0570 |
Nebulizer, with compressor |
260 |
260 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
137 |
137 |
$2K |