| 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 |
18,080 |
16,901 |
$589K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
824 |
779 |
$190K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,180 |
2,978 |
$108K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,800 |
3,544 |
$84K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,520 |
11,709 |
$79K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,376 |
2,221 |
$65K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,979 |
2,777 |
$44K |
| 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) |
982 |
889 |
$42K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,532 |
3,286 |
$30K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,239 |
1,150 |
$28K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,377 |
1,278 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
1,810 |
1,686 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,861 |
6,308 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
2,693 |
2,484 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,282 |
2,115 |
$8K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
819 |
750 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
1,746 |
1,608 |
$7K |
| E0570 |
Nebulizer, with compressor |
694 |
648 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
77 |
65 |
$973.86 |