| 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 |
24,429 |
22,179 |
$811K |
| E0601 |
Continuous positive airway pressure (cpap) device |
11,699 |
11,033 |
$447K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,582 |
4,236 |
$190K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
389 |
346 |
$181K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,918 |
4,460 |
$147K |
| 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) |
1,538 |
1,425 |
$135K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,046 |
9,215 |
$107K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,437 |
4,907 |
$101K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,708 |
3,428 |
$85K |
| A7035 |
Headgear used with positive airway pressure device |
5,811 |
5,408 |
$79K |
| A7037 |
Tubing used with positive airway pressure device |
6,669 |
6,184 |
$62K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,262 |
2,969 |
$54K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
22,734 |
21,238 |
$49K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,760 |
1,637 |
$35K |
| E0570 |
Nebulizer, with compressor |
3,269 |
2,964 |
$33K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,697 |
1,558 |
$29K |
| E1392 |
Portable oxygen concentrator, rental |
2,189 |
2,046 |
$21K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,215 |
1,134 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,176 |
2,021 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
329 |
300 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,263 |
1,017 |
$911.58 |
| A7015 |
Aerosol mask, used with dme nebulizer |
106 |
96 |
$69.82 |