| 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 |
11,230 |
9,552 |
$770K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,842 |
3,416 |
$148K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,094 |
952 |
$95K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,096 |
5,958 |
$83K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,193 |
1,951 |
$78K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,173 |
1,933 |
$77K |
| E0570 |
Nebulizer, with compressor |
1,045 |
921 |
$36K |
| A7035 |
Headgear used with positive airway pressure device |
1,736 |
1,528 |
$32K |
| 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) |
392 |
354 |
$28K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,574 |
3,188 |
$17K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
882 |
762 |
$9K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
218 |
207 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
92 |
85 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
521 |
483 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
34 |
25 |
$955.49 |
| A7015 |
Aerosol mask, used with dme nebulizer |
126 |
122 |
$112.77 |
| E1399 |
Durable medical equipment, miscellaneous |
129 |
86 |
$49.70 |
| A4615 |
Cannula, nasal |
460 |
360 |
$29.01 |
| A4616 |
Tubing (oxygen), per foot |
147 |
130 |
$7.21 |