| 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 |
7,235 |
7,145 |
$374K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,952 |
1,937 |
$63K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,959 |
1,913 |
$58K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,034 |
1,031 |
$54K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,048 |
3,998 |
$44K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,938 |
1,887 |
$18K |
| A7037 |
Tubing used with positive airway pressure device |
1,641 |
1,634 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
1,336 |
1,333 |
$12K |
| E0570 |
Nebulizer, with compressor |
1,517 |
1,483 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
638 |
637 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
349 |
349 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,634 |
3,606 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
128 |
127 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
556 |
556 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
84 |
84 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
197 |
191 |
$301.59 |