| 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 |
16,837 |
13,289 |
$462K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
810 |
597 |
$245K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,551 |
1,396 |
$72K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,996 |
8,288 |
$64K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,045 |
2,463 |
$54K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,780 |
1,643 |
$48K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,461 |
2,121 |
$46K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,515 |
2,795 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
1,805 |
1,531 |
$20K |
| A7035 |
Headgear used with positive airway pressure device |
1,928 |
1,683 |
$19K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
722 |
605 |
$17K |
| E0570 |
Nebulizer, with compressor |
2,980 |
2,489 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,462 |
1,246 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,598 |
4,697 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
686 |
515 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
1,211 |
991 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
327 |
270 |
$737.19 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
36 |
25 |
$280.53 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
32 |
30 |
$242.04 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
87 |
75 |
$64.29 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
12 |
12 |
$4.67 |