| 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 |
11,193 |
11,128 |
$493K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,085 |
2,067 |
$70K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,161 |
1,157 |
$66K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,745 |
6,695 |
$59K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,455 |
1,448 |
$47K |
| E0570 |
Nebulizer, with compressor |
2,418 |
2,414 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,661 |
1,652 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
1,789 |
1,785 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
291 |
290 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
1,061 |
1,056 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
301 |
301 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,598 |
3,572 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
574 |
572 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
249 |
247 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
28 |
28 |
$651.70 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
386 |
361 |
$460.01 |
| E1392 |
Portable oxygen concentrator, rental |
26 |
26 |
$271.56 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
40 |
40 |
$265.75 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
13 |
13 |
$170.31 |