| 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 |
6,421 |
5,926 |
$263K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,542 |
3,297 |
$99K |
| 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 |
2,428 |
2,236 |
$43K |
| A7030 |
Full face mask used with positive airway pressure device, each |
691 |
594 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
1,195 |
990 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
1,598 |
1,306 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
379 |
304 |
$9K |
| E0570 |
Nebulizer, with compressor |
497 |
460 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
114 |
90 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
321 |
271 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,110 |
1,690 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
619 |
562 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
339 |
290 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
57 |
50 |
$676.63 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
28 |
28 |
$223.53 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
12 |
12 |
$4.50 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$0.00 |