| 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 |
2,613 |
2,540 |
$62K |
| E1392 |
Portable oxygen concentrator, rental |
1,254 |
1,220 |
$14K |
| E0601 |
Continuous positive airway pressure (cpap) device |
593 |
580 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
584 |
571 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
944 |
924 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
158 |
147 |
$6K |
| A7030 |
Full face mask used with positive airway pressure device, each |
141 |
131 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
682 |
639 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
62 |
61 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
155 |
152 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
12 |
$511.39 |
| E0570 |
Nebulizer, with compressor |
185 |
176 |
$371.52 |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
13 |
12 |
$346.84 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
89 |
86 |
$343.32 |