| 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 |
6,696 |
6,560 |
$290K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,931 |
5,839 |
$53K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,423 |
1,350 |
$40K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,051 |
1,024 |
$35K |
| E0601 |
Continuous positive airway pressure (cpap) device |
833 |
824 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,342 |
2,240 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
1,190 |
1,158 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
841 |
820 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
194 |
192 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
52 |
52 |
$1K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
65 |
65 |
$898.33 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
195 |
194 |
$509.86 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
641 |
627 |
$430.14 |
| 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) |
12 |
12 |
$205.55 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
103 |
102 |
$152.26 |
| E0570 |
Nebulizer, with compressor |
170 |
170 |
$68.06 |