| 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 |
3,542 |
3,194 |
$276K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,102 |
1,891 |
$47K |
| A7030 |
Full face mask used with positive airway pressure device, each |
254 |
239 |
$15K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
347 |
324 |
$9K |
| E0570 |
Nebulizer, with compressor |
710 |
699 |
$8K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
173 |
147 |
$8K |
| E0601 |
Continuous positive airway pressure (cpap) device |
122 |
100 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
262 |
241 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
911 |
821 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
52 |
51 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
155 |
141 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
134 |
124 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
27 |
25 |
$771.68 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14 |
13 |
$246.09 |