| 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 |
4,441 |
4,415 |
$286K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,449 |
2,426 |
$26K |
| E0601 |
Continuous positive airway pressure (cpap) device |
502 |
487 |
$19K |
| A7031 |
Face mask interface, replacement for full face mask, each |
472 |
453 |
$11K |
| A7030 |
Full face mask used with positive airway pressure device, each |
175 |
175 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
984 |
956 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
200 |
200 |
$2K |
| 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 |
12 |
12 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
54 |
53 |
$641.26 |
| A7037 |
Tubing used with positive airway pressure device |
85 |
85 |
$441.79 |
| E0570 |
Nebulizer, with compressor |
37 |
36 |
$302.81 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
26 |
26 |
$159.34 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12 |
12 |
$0.00 |