| 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 |
4,030 |
3,366 |
$5K |
| E0601 |
Continuous positive airway pressure (cpap) device |
326 |
283 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
212 |
191 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
59 |
52 |
$461.03 |
| A7035 |
Headgear used with positive airway pressure device |
103 |
92 |
$282.68 |
| A7031 |
Face mask interface, replacement for full face mask, each |
209 |
180 |
$236.06 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
667 |
583 |
$214.82 |
| A7037 |
Tubing used with positive airway pressure device |
169 |
153 |
$121.62 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,908 |
1,549 |
$120.89 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
116 |
93 |
$37.44 |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
62 |
62 |
$0.00 |
| 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 |
380 |
353 |
$0.00 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
293 |
187 |
$0.00 |