| 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 |
5,308 |
4,941 |
$231K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,939 |
1,889 |
$88K |
| A7030 |
Full face mask used with positive airway pressure device, each |
341 |
316 |
$22K |
| 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 |
853 |
815 |
$18K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
393 |
372 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,002 |
944 |
$9K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
868 |
837 |
$8K |
| A7031 |
Face mask interface, replacement for full face mask, each |
180 |
165 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
480 |
469 |
$8K |
| 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) |
63 |
63 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
455 |
432 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
40 |
40 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
102 |
100 |
$863.57 |
| A7037 |
Tubing used with positive airway pressure device |
25 |
25 |
$326.27 |