| 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 |
1,548 |
1,476 |
$58K |
| E0601 |
Continuous positive airway pressure (cpap) device |
233 |
172 |
$14K |
| A7030 |
Full face mask used with positive airway pressure device, each |
82 |
65 |
$8K |
| A7031 |
Face mask interface, replacement for full face mask, each |
133 |
96 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
100 |
75 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
58 |
40 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
484 |
468 |
$3K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
192 |
176 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
51 |
37 |
$2K |
| E0570 |
Nebulizer, with compressor |
139 |
111 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
210 |
157 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
108 |
89 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
60 |
41 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
49 |
39 |
$966.91 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
61 |
45 |
$644.10 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
70 |
52 |
$569.77 |