| 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 |
5,959 |
4,996 |
$450K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,842 |
1,604 |
$26K |
| 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 |
971 |
797 |
$17K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
503 |
478 |
$14K |
| E0601 |
Continuous positive airway pressure (cpap) device |
108 |
86 |
$12K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
124 |
76 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
387 |
261 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
63 |
52 |
$2K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
50 |
38 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
15 |
13 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
33 |
27 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
30 |
26 |
$509.32 |