| 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 |
3,562 |
3,037 |
$178K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,687 |
1,284 |
$44K |
| A7030 |
Full face mask used with positive airway pressure device, each |
739 |
622 |
$40K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,155 |
2,665 |
$32K |
| E0601 |
Continuous positive airway pressure (cpap) device |
874 |
700 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,085 |
2,450 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
237 |
185 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
658 |
559 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
118 |
93 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
783 |
698 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
498 |
409 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
104 |
78 |
$2K |
| E0570 |
Nebulizer, with compressor |
620 |
576 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
265 |
212 |
$310.25 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
15 |
13 |
$41.85 |