| 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 |
2,964 |
2,942 |
$206K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,003 |
998 |
$36K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,652 |
1,646 |
$27K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,725 |
1,719 |
$18K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,429 |
1,422 |
$17K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
632 |
631 |
$15K |
| A7035 |
Headgear used with positive airway pressure device |
1,188 |
1,183 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,127 |
1,121 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,773 |
4,759 |
$10K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
817 |
813 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
595 |
593 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
502 |
502 |
$5K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
140 |
134 |
$1K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
60 |
60 |
$990.20 |
| E0570 |
Nebulizer, with compressor |
38 |
38 |
$607.46 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
53 |
53 |
$405.61 |