| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,725 |
1,135 |
$64K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,325 |
1,626 |
$59K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,181 |
1,752 |
$37K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,497 |
1,137 |
$14K |
| A7031 |
Face mask interface, replacement for full face mask, each |
272 |
227 |
$2K |
| E0570 |
Nebulizer, with compressor |
490 |
401 |
$806.40 |
| A7037 |
Tubing used with positive airway pressure device |
854 |
659 |
$787.49 |
| A7030 |
Full face mask used with positive airway pressure device, each |
200 |
172 |
$594.78 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
396 |
302 |
$410.83 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,631 |
1,297 |
$376.81 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
59 |
55 |
$199.90 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
161 |
128 |
$139.65 |
| A7035 |
Headgear used with positive airway pressure device |
432 |
350 |
$134.31 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
41 |
25 |
$63.36 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
59 |
50 |
$62.58 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
41 |
25 |
$0.00 |