| 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 |
6,054 |
4,862 |
$221K |
| A7030 |
Full face mask used with positive airway pressure device, each |
861 |
787 |
$61K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,452 |
1,320 |
$42K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,488 |
2,796 |
$41K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,491 |
966 |
$33K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,535 |
1,651 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
1,302 |
1,136 |
$17K |
| E1392 |
Portable oxygen concentrator, rental |
1,561 |
1,374 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
791 |
724 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,893 |
2,546 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
915 |
836 |
$8K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
45 |
37 |
$4K |
| E0570 |
Nebulizer, with compressor |
421 |
350 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
13 |
$499.03 |