| 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 |
20,264 |
20,198 |
$689K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
631 |
631 |
$116K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,870 |
12,823 |
$87K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,157 |
1,155 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
2,167 |
2,158 |
$18K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,003 |
1,001 |
$17K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
65 |
63 |
$17K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,018 |
1,014 |
$14K |
| E0570 |
Nebulizer, with compressor |
4,519 |
4,511 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,187 |
1,182 |
$6K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
802 |
802 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,424 |
2,404 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
815 |
813 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
1,106 |
1,105 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
108 |
108 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
165 |
164 |
$924.59 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
396 |
396 |
$631.40 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,228 |
1,172 |
$560.77 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
41 |
40 |
$379.06 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
105 |
105 |
$274.03 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$3.18 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
25 |
25 |
$2.65 |