| 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 |
12,298 |
11,457 |
$912K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,164 |
4,026 |
$173K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
547 |
544 |
$171K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,913 |
1,867 |
$135K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,189 |
7,715 |
$112K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,316 |
4,084 |
$75K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,610 |
1,570 |
$53K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,956 |
1,913 |
$48K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
960 |
940 |
$34K |
| A7035 |
Headgear used with positive airway pressure device |
2,072 |
2,022 |
$32K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,705 |
5,508 |
$27K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,937 |
1,881 |
$15K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
376 |
369 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
786 |
774 |
$11K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
330 |
316 |
$9K |
| E0570 |
Nebulizer, with compressor |
1,363 |
1,336 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
443 |
428 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
478 |
447 |
$545.41 |