| 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 |
6,207 |
5,508 |
$431K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
1,322 |
1,192 |
$52K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
952 |
907 |
$51K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
1,228 |
1,134 |
$42K |
| E0601 |
Continuous positive airway pressure (cpap) device |
488 |
465 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,703 |
1,632 |
$24K |
| A7030 |
Full face mask used with positive airway pressure device, each |
72 |
69 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
54 |
52 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
348 |
327 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
41 |
39 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
72 |
71 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
130 |
111 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
54 |
51 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
61 |
59 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
33 |
32 |
$367.78 |