| 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 |
25,349 |
15,180 |
$811K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,364 |
2,125 |
$136K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,976 |
2,532 |
$89K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,552 |
2,160 |
$75K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,021 |
7,816 |
$71K |
| E1392 |
Portable oxygen concentrator, rental |
3,752 |
2,213 |
$34K |
| A7037 |
Tubing used with positive airway pressure device |
4,355 |
2,736 |
$34K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,200 |
2,587 |
$27K |
| A7035 |
Headgear used with positive airway pressure device |
2,950 |
1,891 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,260 |
4,874 |
$22K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,200 |
711 |
$21K |
| E0570 |
Nebulizer, with compressor |
2,313 |
1,539 |
$8K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
305 |
176 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,393 |
854 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
425 |
274 |
$2K |
| 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) |
48 |
25 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
49 |
27 |
$505.39 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,063 |
689 |
$502.39 |