| 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 |
8,000 |
6,338 |
$156K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,541 |
3,737 |
$52K |
| E0601 |
Continuous positive airway pressure (cpap) device |
936 |
795 |
$18K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
128 |
87 |
$16K |
| E0570 |
Nebulizer, with compressor |
2,364 |
1,938 |
$10K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
27 |
24 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
390 |
322 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
1,066 |
720 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
440 |
342 |
$423.28 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,190 |
1,016 |
$391.42 |
| A7031 |
Face mask interface, replacement for full face mask, each |
40 |
39 |
$191.16 |
| A7037 |
Tubing used with positive airway pressure device |
396 |
354 |
$170.74 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
138 |
124 |
$163.96 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
13 |
$37.93 |
| A7035 |
Headgear used with positive airway pressure device |
139 |
123 |
$24.73 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
108 |
95 |
$15.84 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
17 |
15 |
$9.37 |
| A7030 |
Full face mask used with positive airway pressure device, each |
40 |
39 |
$0.00 |