| 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 |
305 |
298 |
$9K |
| E0601 |
Continuous positive airway pressure (cpap) device |
194 |
194 |
$8K |
| E0570 |
Nebulizer, with compressor |
501 |
500 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
109 |
107 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
130 |
127 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
94 |
91 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
108 |
108 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
176 |
171 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
327 |
319 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
25 |
25 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
77 |
76 |
$965.86 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
18 |
17 |
$631.93 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
104 |
102 |
$514.06 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
31 |
31 |
$498.79 |
| T4541 |
Incontinence product, disposable underpad, large, each |
12 |
12 |
$477.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
91 |
88 |
$394.42 |
| A7037 |
Tubing used with positive airway pressure device |
36 |
35 |
$337.86 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
65 |
64 |
$271.31 |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
12 |
12 |
$190.10 |