| 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 |
13,676 |
12,284 |
$397K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,909 |
1,672 |
$172K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,738 |
6,855 |
$44K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,921 |
1,683 |
$40K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,098 |
969 |
$38K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,394 |
1,281 |
$30K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,196 |
2,029 |
$20K |
| 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) |
357 |
286 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
1,657 |
1,465 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
989 |
850 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,971 |
2,692 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
603 |
535 |
$5K |
| E0570 |
Nebulizer, with compressor |
1,176 |
1,028 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
617 |
454 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
114 |
90 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
84 |
73 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
355 |
300 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,001 |
882 |
$339.41 |