| 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 |
4,116 |
3,581 |
$89K |
| A7031 |
Face mask interface, replacement for full face mask, each |
665 |
593 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,714 |
1,523 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,252 |
1,971 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
411 |
374 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
245 |
233 |
$7K |
| E0601 |
Continuous positive airway pressure (cpap) device |
238 |
212 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
150 |
140 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
478 |
417 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
502 |
438 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
92 |
85 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
303 |
281 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
136 |
132 |
$1K |
| E0570 |
Nebulizer, with compressor |
192 |
171 |
$579.97 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
40 |
39 |
$567.21 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
14 |
14 |
$13.20 |