| 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 |
9,051 |
8,460 |
$308K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
515 |
483 |
$129K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,477 |
1,415 |
$36K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,235 |
4,848 |
$32K |
| A7030 |
Full face mask used with positive airway pressure device, each |
844 |
817 |
$31K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,223 |
1,148 |
$28K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,040 |
985 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
1,320 |
1,287 |
$8K |
| E0570 |
Nebulizer, with compressor |
1,728 |
1,647 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,561 |
2,456 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
541 |
517 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
362 |
338 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
40 |
40 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
262 |
256 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
24 |
24 |
$688.37 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
690 |
623 |
$426.12 |