| 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 |
5,676 |
5,134 |
$295K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,415 |
3,076 |
$40K |
| E0601 |
Continuous positive airway pressure (cpap) device |
567 |
512 |
$18K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
397 |
361 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
792 |
702 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
225 |
207 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,850 |
1,697 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
167 |
147 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
463 |
430 |
$4K |
| E0570 |
Nebulizer, with compressor |
696 |
642 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
54 |
41 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
14 |
13 |
$990.24 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
27 |
24 |
$860.22 |
| A7035 |
Headgear used with positive airway pressure device |
47 |
41 |
$627.27 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
41 |
38 |
$367.74 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$99.20 |