| 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 |
32,900 |
32,783 |
$1.51M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,122 |
2,115 |
$890K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
21,451 |
21,222 |
$230K |
| E1392 |
Portable oxygen concentrator, rental |
2,924 |
2,904 |
$44K |
| E0570 |
Nebulizer, with compressor |
10,985 |
10,962 |
$36K |
| E0601 |
Continuous positive airway pressure (cpap) device |
521 |
506 |
$14K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
605 |
601 |
$11K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
122 |
118 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,231 |
1,223 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
399 |
385 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,777 |
1,689 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
66 |
66 |
$859.60 |
| A7035 |
Headgear used with positive airway pressure device |
105 |
105 |
$780.44 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
29 |
29 |
$688.70 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
68 |
68 |
$603.28 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
187 |
184 |
$467.06 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
83 |
83 |
$312.46 |
| E0776 |
Iv pole |
90 |
90 |
$245.11 |
| A7030 |
Full face mask used with positive airway pressure device, each |
15 |
15 |
$173.94 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$139.48 |
| A7015 |
Aerosol mask, used with dme nebulizer |
118 |
111 |
$106.77 |
| A7037 |
Tubing used with positive airway pressure device |
17 |
17 |
$39.99 |
| A7031 |
Face mask interface, replacement for full face mask, each |
13 |
13 |
$37.55 |