| 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 |
11,361 |
9,032 |
$355K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,820 |
5,378 |
$93K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,600 |
1,482 |
$66K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,515 |
2,126 |
$48K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,007 |
1,863 |
$41K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
904 |
842 |
$29K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
67 |
50 |
$27K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,944 |
2,317 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
2,021 |
1,870 |
$23K |
| A7037 |
Tubing used with positive airway pressure device |
1,877 |
1,720 |
$22K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,268 |
2,103 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,195 |
3,881 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
1,216 |
1,002 |
$12K |
| E0570 |
Nebulizer, with compressor |
1,222 |
1,130 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
501 |
454 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
133 |
126 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
107 |
100 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
12 |
12 |
$52.37 |