| 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 |
19,521 |
18,055 |
$782K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,700 |
1,475 |
$604K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,359 |
2,217 |
$93K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,513 |
2,352 |
$92K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,170 |
11,296 |
$78K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,721 |
3,491 |
$72K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,836 |
6,359 |
$39K |
| A7037 |
Tubing used with positive airway pressure device |
4,076 |
3,798 |
$37K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,653 |
2,499 |
$35K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
970 |
907 |
$32K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,178 |
1,102 |
$31K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,399 |
1,294 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
2,108 |
1,961 |
$21K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
41 |
36 |
$17K |
| E0570 |
Nebulizer, with compressor |
1,946 |
1,766 |
$11K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
335 |
308 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
299 |
294 |
$7K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
451 |
412 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
179 |
167 |
$3K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
25 |
24 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
660 |
578 |
$853.60 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
27 |
24 |
$151.82 |