| 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 |
4,090 |
4,043 |
$115K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,193 |
2,160 |
$14K |
| A7031 |
Face mask interface, replacement for full face mask, each |
405 |
370 |
$8K |
| E0601 |
Continuous positive airway pressure (cpap) device |
339 |
322 |
$6K |
| A7030 |
Full face mask used with positive airway pressure device, each |
90 |
82 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
943 |
887 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
55 |
52 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
63 |
62 |
$534.10 |
| E0570 |
Nebulizer, with compressor |
811 |
801 |
$437.09 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
503 |
470 |
$420.76 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$286.59 |
| A7035 |
Headgear used with positive airway pressure device |
28 |
28 |
$241.71 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
50 |
45 |
$214.74 |
| E1392 |
Portable oxygen concentrator, rental |
104 |
104 |
$146.00 |