| 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 |
3,222 |
2,846 |
$270K |
| E0570 |
Nebulizer, with compressor |
1,241 |
1,079 |
$80K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,479 |
1,312 |
$62K |
| 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 |
1,100 |
988 |
$24K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
339 |
288 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
724 |
606 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,321 |
1,935 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
300 |
243 |
$7K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
244 |
222 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
82 |
66 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
1,030 |
861 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
38 |
25 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
517 |
473 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
283 |
255 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
95 |
73 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
100 |
91 |
$151.14 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
15 |
12 |
$116.75 |