| 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 |
5,827 |
5,716 |
$285K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,017 |
3,927 |
$43K |
| A7031 |
Face mask interface, replacement for full face mask, each |
674 |
621 |
$22K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
37 |
37 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
411 |
396 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,223 |
1,148 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
53 |
53 |
$4K |
| E0601 |
Continuous positive airway pressure (cpap) device |
126 |
125 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
184 |
182 |
$2K |
| E0570 |
Nebulizer, with compressor |
719 |
718 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
439 |
412 |
$435.41 |
| A7035 |
Headgear used with positive airway pressure device |
28 |
28 |
$409.62 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$86.80 |
| E1392 |
Portable oxygen concentrator, rental |
24 |
24 |
$0.00 |