| 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 |
6,276 |
4,079 |
$185K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,795 |
3,047 |
$40K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,685 |
3,025 |
$30K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,755 |
1,137 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,581 |
3,278 |
$14K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,868 |
1,829 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,379 |
988 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,087 |
722 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
1,806 |
1,211 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
2,397 |
1,642 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,703 |
3,850 |
$5K |
| E0570 |
Nebulizer, with compressor |
1,227 |
864 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,042 |
773 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
276 |
226 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
104 |
88 |
$345.93 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
284 |
177 |
$199.69 |