| 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 |
6,863 |
6,080 |
$233K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,436 |
2,244 |
$64K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,243 |
1,130 |
$60K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,643 |
1,493 |
$44K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,427 |
3,063 |
$27K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,000 |
1,828 |
$25K |
| A7037 |
Tubing used with positive airway pressure device |
1,774 |
1,625 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,988 |
3,674 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
1,065 |
981 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
220 |
204 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
545 |
505 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
158 |
139 |
$3K |
| E0570 |
Nebulizer, with compressor |
420 |
368 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
160 |
115 |
$95.87 |