| 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 |
4,303 |
3,965 |
$177K |
| A7031 |
Face mask interface, replacement for full face mask, each |
493 |
484 |
$23K |
| A7030 |
Full face mask used with positive airway pressure device, each |
442 |
436 |
$22K |
| E0601 |
Continuous positive airway pressure (cpap) device |
533 |
515 |
$21K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
856 |
834 |
$19K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,590 |
1,484 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
279 |
269 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
963 |
943 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
833 |
755 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,196 |
1,165 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
561 |
546 |
$6K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
12 |
12 |
$4K |
| E0570 |
Nebulizer, with compressor |
589 |
514 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
251 |
242 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
14 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
42 |
41 |
$311.50 |