| 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 |
491 |
407 |
$24K |
| 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 |
230 |
194 |
$13K |
| E0601 |
Continuous positive airway pressure (cpap) device |
472 |
409 |
$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) |
52 |
50 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
66 |
61 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
90 |
76 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
193 |
177 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
159 |
143 |
$2K |
| E0570 |
Nebulizer, with compressor |
110 |
106 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
93 |
77 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
28 |
28 |
$799.10 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
195 |
174 |
$772.54 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
109 |
98 |
$550.77 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
56 |
56 |
$462.45 |