| 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 |
19,090 |
16,497 |
$636K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,572 |
3,219 |
$228K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,874 |
5,307 |
$200K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,784 |
4,138 |
$157K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
574 |
541 |
$144K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,953 |
5,304 |
$83K |
| 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) |
946 |
843 |
$77K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,610 |
8,267 |
$74K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,831 |
1,672 |
$68K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,744 |
1,594 |
$64K |
| A7037 |
Tubing used with positive airway pressure device |
4,088 |
3,730 |
$44K |
| A7035 |
Headgear used with positive airway pressure device |
3,245 |
2,971 |
$43K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,285 |
1,169 |
$41K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,759 |
8,873 |
$39K |
| E1392 |
Portable oxygen concentrator, rental |
3,336 |
2,904 |
$37K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,047 |
976 |
$29K |
| E0570 |
Nebulizer, with compressor |
3,009 |
2,689 |
$22K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,653 |
2,360 |
$20K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,379 |
1,224 |
$1K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
48 |
36 |
$1K |