| 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 |
31,877 |
23,433 |
$899K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,305 |
1,666 |
$566K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,867 |
3,002 |
$215K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,070 |
4,984 |
$185K |
| 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) |
2,226 |
1,643 |
$153K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,621 |
3,599 |
$145K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,046 |
11,754 |
$101K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
7,080 |
5,666 |
$88K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,991 |
1,415 |
$50K |
| A7037 |
Tubing used with positive airway pressure device |
4,987 |
3,654 |
$41K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,384 |
1,068 |
$40K |
| A7035 |
Headgear used with positive airway pressure device |
3,591 |
2,709 |
$39K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,116 |
8,076 |
$35K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
815 |
701 |
$25K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,017 |
805 |
$24K |
| E0570 |
Nebulizer, with compressor |
6,228 |
4,130 |
$20K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,716 |
2,046 |
$17K |
| E1392 |
Portable oxygen concentrator, rental |
1,907 |
1,192 |
$10K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,670 |
1,230 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,145 |
2,645 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
81 |
67 |
$156.49 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
23 |
12 |
$94.73 |