| 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 |
25,409 |
25,159 |
$830K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,084 |
3,059 |
$486K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,735 |
12,566 |
$103K |
| E1392 |
Portable oxygen concentrator, rental |
1,524 |
1,500 |
$12K |
| E0570 |
Nebulizer, with compressor |
4,507 |
4,491 |
$11K |
| E0601 |
Continuous positive airway pressure (cpap) device |
618 |
607 |
$8K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
158 |
152 |
$8K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
475 |
466 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
144 |
140 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
385 |
376 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,040 |
1,017 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
106 |
103 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
372 |
364 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
497 |
493 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
68 |
67 |
$890.99 |
| A7035 |
Headgear used with positive airway pressure device |
123 |
122 |
$720.34 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,241 |
1,180 |
$701.92 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
51 |
51 |
$205.49 |
| A7015 |
Aerosol mask, used with dme nebulizer |
213 |
197 |
$97.19 |