| 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 |
5,639 |
5,273 |
$483K |
| 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 |
1,159 |
1,074 |
$35K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,801 |
1,696 |
$30K |
| E1392 |
Portable oxygen concentrator, rental |
1,115 |
1,037 |
$22K |
| E0601 |
Continuous positive airway pressure (cpap) device |
343 |
321 |
$17K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
300 |
292 |
$13K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
98 |
91 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,062 |
983 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
192 |
186 |
$4K |
| E0570 |
Nebulizer, with compressor |
98 |
86 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
151 |
148 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
102 |
99 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
12 |
12 |
$543.72 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
28 |
26 |
$464.02 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
46 |
44 |
$408.81 |
| A7031 |
Face mask interface, replacement for full face mask, each |
14 |
12 |
$251.11 |