| 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 |
14,938 |
13,982 |
$608K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,990 |
2,749 |
$108K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,636 |
6,184 |
$86K |
| A7030 |
Full face mask used with positive airway pressure device, each |
905 |
842 |
$38K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,023 |
916 |
$29K |
| E0570 |
Nebulizer, with compressor |
1,922 |
1,808 |
$26K |
| A7031 |
Face mask interface, replacement for full face mask, each |
989 |
915 |
$21K |
| A7035 |
Headgear used with positive airway pressure device |
1,319 |
1,232 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
1,657 |
1,540 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,058 |
4,755 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
287 |
263 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
232 |
212 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
260 |
250 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,243 |
1,106 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
41 |
37 |
$784.82 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
12 |
12 |
$145.19 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
28 |
24 |
$50.10 |
| A7015 |
Aerosol mask, used with dme nebulizer |
29 |
26 |
$11.90 |