| 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 |
3,382 |
2,793 |
$90K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,007 |
939 |
$32K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,547 |
1,325 |
$31K |
| A7030 |
Full face mask used with positive airway pressure device, each |
585 |
481 |
$26K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
865 |
732 |
$14K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,348 |
1,245 |
$11K |
| E1392 |
Portable oxygen concentrator, rental |
1,424 |
1,176 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,408 |
2,062 |
$5K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
748 |
616 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
491 |
408 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
84 |
76 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
256 |
217 |
$1K |
| E0570 |
Nebulizer, with compressor |
112 |
88 |
$768.39 |
| A7037 |
Tubing used with positive airway pressure device |
48 |
38 |
$241.99 |