| 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 |
10,244 |
9,717 |
$405K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,170 |
5,819 |
$46K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,361 |
1,341 |
$46K |
| E0601 |
Continuous positive airway pressure (cpap) device |
806 |
783 |
$32K |
| A7030 |
Full face mask used with positive airway pressure device, each |
373 |
364 |
$26K |
| E1392 |
Portable oxygen concentrator, rental |
1,740 |
1,659 |
$25K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,107 |
1,083 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,099 |
2,032 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
455 |
438 |
$5K |
| E0570 |
Nebulizer, with compressor |
93 |
92 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
184 |
183 |
$2K |
| 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 |
44 |
44 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
24 |
24 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
26 |
25 |
$849.57 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
70 |
70 |
$730.70 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$531.60 |