| 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 |
22,288 |
21,000 |
$625K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,904 |
4,626 |
$185K |
| A7031 |
Face mask interface, replacement for full face mask, each |
7,824 |
7,339 |
$175K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,969 |
13,102 |
$95K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,086 |
3,865 |
$62K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,459 |
2,329 |
$57K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,708 |
2,547 |
$53K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,087 |
2,850 |
$51K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
111 |
100 |
$40K |
| A7035 |
Headgear used with positive airway pressure device |
4,417 |
4,178 |
$37K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12,154 |
11,406 |
$31K |
| E0570 |
Nebulizer, with compressor |
5,354 |
4,970 |
$27K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,295 |
1,198 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,837 |
2,634 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
3,607 |
3,415 |
$19K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,828 |
3,602 |
$19K |
| E1392 |
Portable oxygen concentrator, rental |
1,118 |
990 |
$13K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,627 |
1,555 |
$5K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,464 |
1,339 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$318.67 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$90.00 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
102 |
89 |
$26.86 |
| A7015 |
Aerosol mask, used with dme nebulizer |
34 |
26 |
$18.84 |