| 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 |
2,827 |
2,245 |
$84K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,446 |
1,240 |
$56K |
| E0570 |
Nebulizer, with compressor |
390 |
347 |
$16K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,384 |
1,873 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,194 |
1,031 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
1,394 |
1,204 |
$14K |
| A7031 |
Face mask interface, replacement for full face mask, each |
376 |
320 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,925 |
1,634 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
104 |
83 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
179 |
149 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
225 |
188 |
$880.37 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
169 |
151 |
$432.51 |