| 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 |
12,024 |
10,242 |
$368K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,508 |
4,688 |
$36K |
| A7031 |
Face mask interface, replacement for full face mask, each |
724 |
670 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
1,411 |
1,251 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,088 |
1,868 |
$6K |
| E0601 |
Continuous positive airway pressure (cpap) device |
181 |
156 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
273 |
245 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
114 |
99 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
41 |
40 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
152 |
135 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
101 |
89 |
$680.01 |
| E0570 |
Nebulizer, with compressor |
161 |
132 |
$531.38 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
18 |
16 |
$490.52 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
12 |
$290.52 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
31 |
26 |
$190.68 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
210 |
165 |
$122.42 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
26 |
26 |
$103.72 |