| 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 |
20,944 |
19,068 |
$723K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,014 |
895 |
$247K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,611 |
8,830 |
$225K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
516 |
364 |
$124K |
| E0601 |
Continuous positive airway pressure (cpap) device |
849 |
756 |
$15K |
| A7030 |
Full face mask used with positive airway pressure device, each |
232 |
211 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,011 |
2,775 |
$11K |
| A7031 |
Face mask interface, replacement for full face mask, each |
382 |
336 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
853 |
774 |
$7K |
| E0570 |
Nebulizer, with compressor |
1,504 |
1,379 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
266 |
227 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
220 |
199 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
218 |
200 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
186 |
169 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
43 |
40 |
$983.21 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,029 |
883 |
$764.95 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
55 |
43 |
$660.00 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
61 |
61 |
$579.35 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
13 |
$205.31 |