| 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 |
10,430 |
7,227 |
$408K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,307 |
1,041 |
$49K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,325 |
3,831 |
$48K |
| A7030 |
Full face mask used with positive airway pressure device, each |
703 |
521 |
$37K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,407 |
1,873 |
$11K |
| E0601 |
Continuous positive airway pressure (cpap) device |
265 |
184 |
$9K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
38 |
24 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
484 |
336 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
375 |
273 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
416 |
299 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
87 |
69 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
270 |
189 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
32 |
24 |
$911.62 |