| 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 |
2,286 |
1,870 |
$150K |
| E0601 |
Continuous positive airway pressure (cpap) device |
918 |
790 |
$48K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
300 |
227 |
$33K |
| A7030 |
Full face mask used with positive airway pressure device, each |
265 |
248 |
$25K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
908 |
795 |
$24K |
| E0570 |
Nebulizer, with compressor |
558 |
462 |
$21K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,388 |
1,137 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,206 |
1,035 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
318 |
285 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
70 |
63 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
678 |
614 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
149 |
132 |
$520.03 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
15 |
12 |
$315.96 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
16 |
12 |
$75.37 |
| A7015 |
Aerosol mask, used with dme nebulizer |
52 |
45 |
$73.07 |