| 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 |
7,019 |
5,706 |
$299K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,813 |
1,534 |
$39K |
| A7030 |
Full face mask used with positive airway pressure device, each |
685 |
544 |
$31K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,602 |
1,314 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
906 |
804 |
$18K |
| 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 |
1,177 |
1,007 |
$16K |
| A7031 |
Face mask interface, replacement for full face mask, each |
684 |
524 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,837 |
1,443 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
724 |
573 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
259 |
220 |
$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) |
82 |
66 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
353 |
276 |
$2K |
| E0570 |
Nebulizer, with compressor |
151 |
138 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
67 |
54 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
200 |
164 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
13 |
$326.95 |