| 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 |
1,348 |
1,278 |
$105K |
| A7031 |
Face mask interface, replacement for full face mask, each |
557 |
526 |
$21K |
| A7030 |
Full face mask used with positive airway pressure device, each |
211 |
196 |
$19K |
| 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 |
323 |
308 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
494 |
467 |
$9K |
| E0570 |
Nebulizer, with compressor |
406 |
378 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,003 |
945 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
76 |
76 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
130 |
116 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
103 |
101 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
201 |
184 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
218 |
206 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
154 |
141 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
37 |
37 |
$1K |