| 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 |
15,220 |
13,898 |
$837K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,063 |
1,905 |
$127K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,379 |
3,100 |
$98K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,784 |
7,964 |
$93K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,233 |
2,081 |
$66K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,905 |
1,716 |
$57K |
| 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) |
489 |
461 |
$45K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,053 |
973 |
$40K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,976 |
2,749 |
$40K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
91 |
73 |
$35K |
| E0570 |
Nebulizer, with compressor |
4,085 |
3,819 |
$22K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
485 |
435 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,669 |
1,545 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,259 |
4,860 |
$21K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,199 |
1,117 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
599 |
502 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
211 |
195 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
489 |
458 |
$868.97 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
38 |
38 |
$428.89 |