| 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 |
11,153 |
10,907 |
$349K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,963 |
1,936 |
$110K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,159 |
3,113 |
$109K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,194 |
2,168 |
$83K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
223 |
217 |
$58K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,148 |
6,995 |
$47K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,843 |
1,826 |
$38K |
| A7037 |
Tubing used with positive airway pressure device |
2,500 |
2,444 |
$25K |
| A7035 |
Headgear used with positive airway pressure device |
1,908 |
1,881 |
$23K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
318 |
312 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,693 |
4,617 |
$19K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
500 |
490 |
$18K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
477 |
466 |
$18K |
| E0570 |
Nebulizer, with compressor |
2,188 |
2,112 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,116 |
1,093 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
267 |
265 |
$7K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
802 |
789 |
$4K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
29 |
29 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
359 |
357 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
84 |
80 |
$2.69 |