| 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 |
9,133 |
9,122 |
$658K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,044 |
2,035 |
$121K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,019 |
5,015 |
$60K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,386 |
1,381 |
$55K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
223 |
223 |
$43K |
| E0570 |
Nebulizer, with compressor |
2,604 |
2,592 |
$22K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
977 |
977 |
$22K |
| A7030 |
Full face mask used with positive airway pressure device, each |
484 |
484 |
$21K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
971 |
970 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,739 |
2,724 |
$15K |
| A7031 |
Face mask interface, replacement for full face mask, each |
491 |
488 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
788 |
788 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
338 |
336 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
145 |
145 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
498 |
498 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
270 |
257 |
$886.96 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
30 |
28 |
$50.49 |