| 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 |
29,325 |
26,260 |
$1.34M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,780 |
1,595 |
$592K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,591 |
11,149 |
$176K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,876 |
3,501 |
$140K |
| 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) |
793 |
705 |
$91K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,598 |
1,407 |
$66K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,080 |
1,729 |
$62K |
| E1392 |
Portable oxygen concentrator, rental |
3,536 |
3,128 |
$38K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,595 |
1,368 |
$32K |
| E0570 |
Nebulizer, with compressor |
2,613 |
2,279 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
2,091 |
1,868 |
$29K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,036 |
902 |
$25K |
| A7037 |
Tubing used with positive airway pressure device |
2,370 |
2,074 |
$25K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,361 |
6,717 |
$22K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
718 |
638 |
$14K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
577 |
491 |
$12K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,293 |
1,148 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
326 |
276 |
$858.67 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$196.59 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$37.34 |