| 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 |
7,244 |
6,143 |
$249K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,266 |
1,128 |
$35K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,987 |
3,375 |
$30K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,335 |
1,168 |
$12K |
| A7031 |
Face mask interface, replacement for full face mask, each |
500 |
451 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
168 |
153 |
$10K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
241 |
222 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
330 |
289 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
102 |
93 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,099 |
992 |
$2K |
| E0570 |
Nebulizer, with compressor |
54 |
47 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
95 |
91 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
77 |
71 |
$490.53 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
31 |
26 |
$390.18 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
63 |
60 |
$385.53 |
| A7037 |
Tubing used with positive airway pressure device |
28 |
25 |
$214.81 |