| 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 |
6,282 |
5,765 |
$172K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,806 |
3,399 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,820 |
1,716 |
$16K |
| E0601 |
Continuous positive airway pressure (cpap) device |
598 |
574 |
$15K |
| A7030 |
Full face mask used with positive airway pressure device, each |
451 |
436 |
$14K |
| A7031 |
Face mask interface, replacement for full face mask, each |
667 |
634 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
869 |
830 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
977 |
914 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
378 |
363 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
284 |
268 |
$3K |
| E0570 |
Nebulizer, with compressor |
1,066 |
1,027 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
112 |
100 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
42 |
42 |
$805.58 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
309 |
287 |
$139.56 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
135 |
125 |
$0.00 |