| 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 |
11,584 |
11,301 |
$418K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,280 |
1,264 |
$350K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,908 |
9,669 |
$78K |
| A7031 |
Face mask interface, replacement for full face mask, each |
700 |
690 |
$20K |
| A7030 |
Full face mask used with positive airway pressure device, each |
308 |
306 |
$8K |
| E0601 |
Continuous positive airway pressure (cpap) device |
328 |
322 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,606 |
1,579 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
584 |
576 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
195 |
184 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
226 |
223 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
78 |
78 |
$988.51 |
| E0570 |
Nebulizer, with compressor |
773 |
752 |
$673.93 |
| E1392 |
Portable oxygen concentrator, rental |
274 |
273 |
$342.05 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$221.65 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
81 |
81 |
$131.98 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
26 |
26 |
$0.00 |