| 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 |
856 |
710 |
$26K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
738 |
606 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
126 |
84 |
$3K |
| E0601 |
Continuous positive airway pressure (cpap) device |
233 |
172 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
167 |
108 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
299 |
202 |
$1K |
| E0570 |
Nebulizer, with compressor |
275 |
247 |
$690.83 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
349 |
237 |
$497.98 |
| A7035 |
Headgear used with positive airway pressure device |
83 |
61 |
$441.87 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
20 |
15 |
$223.10 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
21 |
13 |
$120.76 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
14 |
12 |
$31.26 |