| 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 |
13,801 |
13,259 |
$648K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
885 |
862 |
$434K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,400 |
2,337 |
$152K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,514 |
4,381 |
$134K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,659 |
2,612 |
$82K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,535 |
7,253 |
$68K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,563 |
1,523 |
$57K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,125 |
1,099 |
$56K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,322 |
3,269 |
$36K |
| A7037 |
Tubing used with positive airway pressure device |
2,789 |
2,713 |
$31K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,658 |
7,462 |
$30K |
| A7035 |
Headgear used with positive airway pressure device |
2,177 |
2,113 |
$29K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
764 |
742 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
1,742 |
1,655 |
$20K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
700 |
684 |
$20K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,700 |
1,659 |
$14K |
| E0570 |
Nebulizer, with compressor |
2,694 |
2,590 |
$12K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
289 |
280 |
$7K |
| 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) |
77 |
74 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
65 |
63 |
$279.12 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
82 |
80 |
$158.42 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
17 |
13 |
$98.59 |