| 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 |
6,711 |
6,077 |
$313K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,262 |
4,894 |
$214K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,831 |
1,616 |
$81K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,089 |
1,004 |
$53K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
484 |
382 |
$45K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,688 |
2,438 |
$44K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
176 |
126 |
$30K |
| A7035 |
Headgear used with positive airway pressure device |
1,651 |
1,517 |
$26K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
244 |
166 |
$25K |
| A7037 |
Tubing used with positive airway pressure device |
1,914 |
1,756 |
$23K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
588 |
553 |
$19K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
39 |
36 |
$14K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
214 |
187 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,363 |
3,017 |
$9K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,307 |
1,232 |
$8K |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
147 |
121 |
$7K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
548 |
476 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
304 |
273 |
$5K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
111 |
102 |
$4K |
| E0570 |
Nebulizer, with compressor |
148 |
130 |
$3K |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
124 |
99 |
$2K |
| 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) |
12 |
12 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
56 |
53 |
$2K |
| 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 |
64 |
61 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
13 |
12 |
$24.19 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
143 |
130 |
$8.63 |
| A6457 |
Tubular dressing with or without elastic, any width, per linear yard |
18 |
16 |
$5.93 |