| 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 |
8,722 |
6,671 |
$291K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,968 |
1,801 |
$98K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,392 |
4,107 |
$69K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,334 |
2,080 |
$50K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,488 |
1,823 |
$45K |
| A7037 |
Tubing used with positive airway pressure device |
2,685 |
2,403 |
$34K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,213 |
2,240 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
2,148 |
2,027 |
$24K |
| E1392 |
Portable oxygen concentrator, rental |
1,280 |
1,027 |
$17K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,844 |
2,673 |
$17K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
512 |
491 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,801 |
4,408 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
145 |
138 |
$3K |
| E0570 |
Nebulizer, with compressor |
591 |
477 |
$2K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
18 |
16 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
203 |
187 |
$565.35 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
152 |
136 |
$158.90 |
| A7002 |
Tubing, used with suction pump, each |
16 |
12 |
$39.63 |