| 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 |
26,044 |
12,363 |
$457K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,814 |
1,202 |
$419K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,501 |
4,026 |
$126K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,780 |
1,318 |
$58K |
| 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 |
6,707 |
3,340 |
$47K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,424 |
1,036 |
$27K |
| E1392 |
Portable oxygen concentrator, rental |
4,064 |
2,046 |
$20K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,354 |
1,802 |
$19K |
| A7035 |
Headgear used with positive airway pressure device |
2,261 |
1,693 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
2,397 |
1,792 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
158 |
128 |
$13K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,455 |
998 |
$13K |
| 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) |
264 |
157 |
$10K |
| E0570 |
Nebulizer, with compressor |
314 |
189 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,656 |
2,600 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
216 |
171 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
218 |
181 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
751 |
589 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
23 |
17 |
$312.48 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
23 |
17 |
$9.12 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
22 |
16 |
$0.00 |