| 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 |
15,290 |
11,091 |
$677K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
229 |
198 |
$101K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,804 |
7,282 |
$95K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,943 |
1,309 |
$85K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,095 |
2,163 |
$82K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,447 |
1,762 |
$72K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,420 |
2,433 |
$30K |
| A7037 |
Tubing used with positive airway pressure device |
2,220 |
1,527 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,151 |
3,191 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
1,522 |
1,083 |
$12K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
108 |
81 |
$12K |
| E0570 |
Nebulizer, with compressor |
1,925 |
1,331 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
529 |
339 |
$8K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
118 |
84 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
146 |
92 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
836 |
576 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
163 |
119 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
118 |
111 |
$41.90 |