| 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 |
33,181 |
31,582 |
$2.65M |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
7,144 |
6,659 |
$369K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
891 |
800 |
$317K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,769 |
15,939 |
$245K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,513 |
1,396 |
$84K |
| A7030 |
Full face mask used with positive airway pressure device, each |
685 |
616 |
$41K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,064 |
943 |
$31K |
| E1392 |
Portable oxygen concentrator, rental |
2,043 |
1,933 |
$27K |
| A7037 |
Tubing used with positive airway pressure device |
1,912 |
1,756 |
$26K |
| E0570 |
Nebulizer, with compressor |
1,311 |
1,232 |
$26K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
548 |
508 |
$26K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
519 |
485 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
1,007 |
936 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,048 |
2,762 |
$9K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
138 |
132 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
631 |
589 |
$5K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
634 |
422 |
$5K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
298 |
192 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
102 |
91 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
67 |
63 |
$2K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
43 |
42 |
$466.38 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
12 |
$278.51 |
| E0444 |
Portable oxygen contents, liquid, 1 month's supply = 1 unit |
85 |
64 |
$132.19 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
73 |
66 |
$66.76 |