| 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 |
1,949 |
1,874 |
$114K |
| E0601 |
Continuous positive airway pressure (cpap) device |
974 |
894 |
$53K |
| A7031 |
Face mask interface, replacement for full face mask, each |
907 |
880 |
$39K |
| A7030 |
Full face mask used with positive airway pressure device, each |
378 |
369 |
$28K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,141 |
1,087 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
705 |
658 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,542 |
1,481 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
414 |
409 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
371 |
340 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
59 |
52 |
$3K |
| E0570 |
Nebulizer, with compressor |
393 |
359 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
106 |
106 |
$914.88 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
17 |
13 |
$757.88 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
31 |
27 |
$161.92 |