| 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 |
6,832 |
6,151 |
$465K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,949 |
6,087 |
$270K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,531 |
3,098 |
$232K |
| 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) |
2,094 |
1,777 |
$159K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
8,609 |
7,453 |
$103K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,017 |
2,656 |
$84K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,573 |
1,324 |
$63K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,165 |
3,783 |
$58K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
73 |
63 |
$50K |
| A7037 |
Tubing used with positive airway pressure device |
4,589 |
3,979 |
$46K |
| A7035 |
Headgear used with positive airway pressure device |
3,372 |
2,931 |
$45K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
72 |
51 |
$26K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
662 |
572 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,736 |
5,016 |
$20K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
626 |
557 |
$18K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
272 |
264 |
$15K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,544 |
1,350 |
$15K |
| E0570 |
Nebulizer, with compressor |
932 |
739 |
$12K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,593 |
2,246 |
$12K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
158 |
143 |
$4K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
76 |
41 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
95 |
76 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
44 |
30 |
$1K |
| A7000 |
Canister, disposable, used with suction pump, each |
28 |
26 |
$596.82 |