| 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 |
1,936 |
1,769 |
$113K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,202 |
1,188 |
$84K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,407 |
1,374 |
$26K |
| E1392 |
Portable oxygen concentrator, rental |
1,252 |
1,122 |
$24K |
| A7030 |
Full face mask used with positive airway pressure device, each |
201 |
196 |
$23K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
463 |
459 |
$20K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
210 |
210 |
$17K |
| A7031 |
Face mask interface, replacement for full face mask, each |
277 |
273 |
$15K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
241 |
240 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
898 |
888 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
249 |
248 |
$6K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
130 |
129 |
$5K |
| 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) |
28 |
26 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
373 |
371 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
65 |
65 |
$826.86 |