| 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 |
5,784 |
5,401 |
$436K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
837 |
792 |
$43K |
| 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 |
1,331 |
1,273 |
$39K |
| E0601 |
Continuous positive airway pressure (cpap) device |
424 |
403 |
$23K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,317 |
1,251 |
$20K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
529 |
449 |
$17K |
| A7030 |
Full face mask used with positive airway pressure device, each |
187 |
179 |
$15K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
420 |
406 |
$13K |
| A7031 |
Face mask interface, replacement for full face mask, each |
166 |
156 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
127 |
116 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
550 |
504 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
98 |
98 |
$2K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
15 |
13 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
115 |
89 |
$1K |
| E0570 |
Nebulizer, with compressor |
25 |
25 |
$427.50 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
25 |
25 |
$253.32 |