| 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 |
8,297 |
7,842 |
$442K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,061 |
1,935 |
$130K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,038 |
955 |
$93K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
445 |
419 |
$82K |
| 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 |
3,214 |
3,008 |
$78K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,622 |
1,479 |
$50K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
1,029 |
1,001 |
$47K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
904 |
842 |
$44K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,103 |
992 |
$42K |
| A7035 |
Headgear used with positive airway pressure device |
1,153 |
1,064 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,211 |
2,005 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,029 |
975 |
$12K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
440 |
404 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
337 |
333 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
729 |
676 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
301 |
288 |
$8K |
| E0570 |
Nebulizer, with compressor |
209 |
203 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
164 |
151 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
35 |
24 |
$199.60 |