| 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 |
1,581 |
1,395 |
$61K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,077 |
983 |
$47K |
| A7031 |
Face mask interface, replacement for full face mask, each |
223 |
181 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
852 |
723 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
109 |
84 |
$1K |
| E0601 |
Continuous positive airway pressure (cpap) device |
131 |
86 |
$878.46 |
| E0570 |
Nebulizer, with compressor |
71 |
61 |
$418.50 |
| A7035 |
Headgear used with positive airway pressure device |
17 |
13 |
$207.94 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
18 |
12 |
$94.08 |