| 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 |
238,543 |
221,981 |
$14.36M |
| S8121 |
Oxygen contents, liquid, 1 unit equals 1 pound |
205,074 |
62,529 |
$9.48M |
| S8120 |
Oxygen contents, gaseous, 1 unit equals 1 cubic foot |
69,145 |
32,103 |
$6.29M |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
63,602 |
59,291 |
$3.81M |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
81,911 |
75,545 |
$2.28M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
165,350 |
155,922 |
$2.15M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,030 |
971 |
$995K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
814 |
736 |
$717K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
4,237 |
3,875 |
$666K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
583 |
461 |
$368K |
| 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) |
3,081 |
2,873 |
$310K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,690 |
6,782 |
$309K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
2,537 |
1,748 |
$302K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,786 |
2,533 |
$283K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
846 |
792 |
$273K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
10,430 |
9,554 |
$216K |
| A7035 |
Headgear used with positive airway pressure device |
3,988 |
3,583 |
$81K |
| E1392 |
Portable oxygen concentrator, rental |
1,890 |
1,767 |
$80K |
| E1399 |
Durable medical equipment, miscellaneous |
6,874 |
5,997 |
$79K |
| E0550 |
Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery |
1,633 |
1,437 |
$71K |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
179 |
157 |
$68K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,308 |
1,197 |
$48K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
945 |
868 |
$31K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
511 |
478 |
$30K |
| A7037 |
Tubing used with positive airway pressure device |
1,344 |
1,259 |
$25K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,136 |
1,107 |
$25K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,007 |
5,331 |
$21K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
2,888 |
2,023 |
$21K |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
275 |
201 |
$20K |
| E0570 |
Nebulizer, with compressor |
2,421 |
2,255 |
$16K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
2,028 |
738 |
$16K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
736 |
653 |
$15K |
| A7526 |
Tracheostomy tube collar/holder, each |
159 |
136 |
$8K |
| A4623 |
Tracheostomy, inner cannula |
37 |
27 |
$8K |
| A4605 |
Tracheal suction catheter, closed system, each |
15 |
14 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
562 |
529 |
$6K |
| A4618 |
Breathing circuits |
378 |
293 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
140 |
120 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
669 |
594 |
$2K |
| A7525 |
Tracheostomy mask, each |
57 |
56 |
$222.14 |
| A4620 |
Variable concentration mask |
211 |
165 |
$134.84 |
| E0444 |
Portable oxygen contents, liquid, 1 month's supply = 1 unit |
25 |
25 |
$115.79 |