| 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 |
21,628 |
18,449 |
$506K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,503 |
6,413 |
$37K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,959 |
1,714 |
$31K |
| A7030 |
Full face mask used with positive airway pressure device, each |
582 |
520 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,382 |
2,969 |
$7K |
| E0601 |
Continuous positive airway pressure (cpap) device |
487 |
441 |
$5K |
| E0570 |
Nebulizer, with compressor |
1,884 |
1,734 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
1,143 |
1,019 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
754 |
667 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
325 |
295 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
285 |
274 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
601 |
527 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
552 |
522 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
514 |
460 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,684 |
1,470 |
$777.82 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
30 |
24 |
$335.92 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
14 |
12 |
$136.67 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$42.39 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
33 |
25 |
$38.84 |