| 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 |
24,377 |
23,254 |
$1.49M |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
5,876 |
5,649 |
$265K |
| 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 |
7,656 |
7,183 |
$218K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,202 |
2,059 |
$217K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,310 |
3,106 |
$216K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
960 |
912 |
$172K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,349 |
2,171 |
$101K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
1,116 |
1,089 |
$79K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
477 |
459 |
$72K |
| A7037 |
Tubing used with positive airway pressure device |
2,502 |
2,441 |
$69K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,011 |
3,900 |
$57K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
863 |
817 |
$43K |
| A7035 |
Headgear used with positive airway pressure device |
1,787 |
1,678 |
$38K |
| E0570 |
Nebulizer, with compressor |
1,233 |
1,189 |
$24K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,120 |
995 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,460 |
3,212 |
$22K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,176 |
1,105 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
987 |
854 |
$12K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
438 |
409 |
$10K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
251 |
236 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
142 |
132 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
38 |
32 |
$68.40 |