| 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 |
10,134 |
7,217 |
$427K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,189 |
842 |
$45K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,899 |
3,606 |
$43K |
| E0570 |
Nebulizer, with compressor |
1,845 |
1,205 |
$25K |
| E1392 |
Portable oxygen concentrator, rental |
2,016 |
1,343 |
$20K |
| A7031 |
Face mask interface, replacement for full face mask, each |
935 |
724 |
$20K |
| A7030 |
Full face mask used with positive airway pressure device, each |
406 |
286 |
$19K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
632 |
429 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,338 |
2,788 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
803 |
609 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
1,012 |
698 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
377 |
278 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
75 |
64 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
42 |
37 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
282 |
219 |
$376.65 |