| 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 |
2,930 |
2,398 |
$147K |
| E0601 |
Continuous positive airway pressure (cpap) device |
787 |
642 |
$24K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,374 |
1,098 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
102 |
82 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
80 |
72 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
112 |
94 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
791 |
647 |
$2K |
| E0570 |
Nebulizer, with compressor |
128 |
123 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
65 |
52 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
49 |
42 |
$438.39 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$426.29 |
| A7037 |
Tubing used with positive airway pressure device |
48 |
39 |
$236.77 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
20 |
17 |
$159.90 |
| A7015 |
Aerosol mask, used with dme nebulizer |
19 |
17 |
$108.37 |