| 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 |
9,169 |
6,184 |
$149K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,462 |
966 |
$108K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,346 |
3,642 |
$30K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,543 |
1,170 |
$26K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,026 |
1,604 |
$14K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
144 |
97 |
$9K |
| E0570 |
Nebulizer, with compressor |
2,866 |
1,921 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
1,073 |
732 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
424 |
277 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
353 |
230 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
1,188 |
865 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
627 |
436 |
$784.08 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,162 |
1,466 |
$701.86 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,114 |
766 |
$582.94 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
297 |
203 |
$577.90 |
| 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) |
17 |
13 |
$444.72 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
352 |
237 |
$68.47 |