| 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 |
32,673 |
26,967 |
$1.84M |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,625 |
2,193 |
$210K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
548 |
432 |
$197K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,437 |
13,768 |
$173K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,256 |
2,641 |
$101K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
1,678 |
1,539 |
$78K |
| A7035 |
Headgear used with positive airway pressure device |
3,002 |
2,589 |
$59K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,179 |
1,029 |
$58K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,360 |
1,951 |
$55K |
| A7037 |
Tubing used with positive airway pressure device |
2,784 |
2,350 |
$39K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
947 |
718 |
$34K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,528 |
2,204 |
$30K |
| E1392 |
Portable oxygen concentrator, rental |
1,623 |
1,365 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,254 |
5,248 |
$20K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
596 |
506 |
$16K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
355 |
310 |
$15K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
273 |
225 |
$7K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
394 |
350 |
$4K |
| E0570 |
Nebulizer, with compressor |
460 |
412 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
150 |
102 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
32 |
27 |
$799.19 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
34 |
26 |
$22.75 |