| 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 |
13,134 |
13,095 |
$784K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,614 |
1,607 |
$218K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,317 |
6,293 |
$66K |
| E0601 |
Continuous positive airway pressure (cpap) device |
362 |
357 |
$27K |
| E0570 |
Nebulizer, with compressor |
3,660 |
3,630 |
$26K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
694 |
689 |
$16K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
604 |
599 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,139 |
2,133 |
$12K |
| 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) |
24 |
24 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
462 |
462 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
255 |
254 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
65 |
64 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
136 |
136 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
132 |
131 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
910 |
869 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
157 |
157 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
61 |
61 |
$952.65 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
25 |
25 |
$664.27 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$579.60 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
297 |
282 |
$254.17 |