| 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 |
24,049 |
14,579 |
$782K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
961 |
504 |
$314K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
15,965 |
9,860 |
$96K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,294 |
2,060 |
$79K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,801 |
1,135 |
$76K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,273 |
1,434 |
$49K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,222 |
2,010 |
$24K |
| A7037 |
Tubing used with positive airway pressure device |
2,531 |
1,555 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,666 |
3,085 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
1,532 |
989 |
$14K |
| E0570 |
Nebulizer, with compressor |
2,962 |
2,003 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
128 |
74 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
103 |
84 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
231 |
153 |
$580.34 |
| E1392 |
Portable oxygen concentrator, rental |
37 |
24 |
$213.42 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
315 |
283 |
$210.21 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
551 |
419 |
$175.77 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
23 |
12 |
$146.54 |