| 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 |
16,881 |
15,485 |
$762K |
| 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) |
2,306 |
2,140 |
$212K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,196 |
4,825 |
$183K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,657 |
8,697 |
$150K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,102 |
1,004 |
$89K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,488 |
1,415 |
$65K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,694 |
1,568 |
$47K |
| A7035 |
Headgear used with positive airway pressure device |
2,496 |
2,340 |
$34K |
| A7037 |
Tubing used with positive airway pressure device |
2,131 |
2,005 |
$25K |
| E0570 |
Nebulizer, with compressor |
627 |
579 |
$17K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
684 |
615 |
$14K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,221 |
2,100 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,916 |
4,458 |
$12K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
749 |
699 |
$12K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
19 |
12 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
458 |
410 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
200 |
168 |
$3K |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
31 |
26 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
434 |
397 |
$1K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
119 |
109 |
$912.50 |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
41 |
39 |
$770.84 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
28 |
26 |
$497.10 |
| A4452 |
Tape, waterproof, per 18 square inches |
14 |
12 |
$285.50 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$173.72 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
25 |
24 |
$20.00 |