| 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 |
2,603 |
2,301 |
$227K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,343 |
1,130 |
$117K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,009 |
893 |
$47K |
| 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 |
1,728 |
1,566 |
$43K |
| A7030 |
Full face mask used with positive airway pressure device, each |
269 |
221 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
1,081 |
902 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,418 |
2,084 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
130 |
103 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
1,269 |
1,075 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
266 |
259 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
539 |
438 |
$5K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
15 |
12 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
44 |
37 |
$2K |
| E0570 |
Nebulizer, with compressor |
58 |
49 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
24 |
24 |
$861.84 |