| 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 |
8,686 |
8,431 |
$499K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,473 |
4,323 |
$52K |
| E0601 |
Continuous positive airway pressure (cpap) device |
968 |
928 |
$44K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,138 |
1,128 |
$38K |
| E1392 |
Portable oxygen concentrator, rental |
1,262 |
1,215 |
$36K |
| A7030 |
Full face mask used with positive airway pressure device, each |
499 |
495 |
$29K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,197 |
1,140 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
1,486 |
1,478 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,943 |
2,919 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
932 |
928 |
$11K |
| E0570 |
Nebulizer, with compressor |
468 |
456 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
123 |
123 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
50 |
50 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
87 |
87 |
$415.35 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
64 |
64 |
$236.63 |