| 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 |
972 |
921 |
$36K |
| E0601 |
Continuous positive airway pressure (cpap) device |
699 |
680 |
$28K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
707 |
688 |
$8K |
| E0570 |
Nebulizer, with compressor |
181 |
172 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
492 |
457 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
425 |
407 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
479 |
466 |
$744.95 |
| A7031 |
Face mask interface, replacement for full face mask, each |
13 |
13 |
$368.08 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
25 |
24 |
$99.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$15.04 |
| 0031A |
|
12 |
12 |
$0.00 |