| 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 |
3,033 |
2,639 |
$91K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,449 |
1,314 |
$31K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,259 |
1,097 |
$26K |
| A7030 |
Full face mask used with positive airway pressure device, each |
516 |
445 |
$19K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,063 |
1,864 |
$16K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,271 |
1,162 |
$14K |
| E0570 |
Nebulizer, with compressor |
1,513 |
1,339 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
1,184 |
1,034 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,439 |
2,159 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
421 |
373 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
26 |
25 |
$550.87 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
66 |
65 |
$351.35 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
12 |
$178.38 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
14 |
13 |
$152.12 |