| 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 |
12,651 |
8,156 |
$268K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,219 |
1,011 |
$210K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,852 |
4,551 |
$124K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,260 |
1,769 |
$103K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,811 |
1,447 |
$56K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,302 |
1,926 |
$43K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,830 |
2,294 |
$42K |
| A7037 |
Tubing used with positive airway pressure device |
3,155 |
2,540 |
$32K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,710 |
1,298 |
$30K |
| A7035 |
Headgear used with positive airway pressure device |
2,880 |
2,287 |
$29K |
| E1392 |
Portable oxygen concentrator, rental |
2,285 |
1,555 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,166 |
3,240 |
$14K |
| E0570 |
Nebulizer, with compressor |
2,031 |
1,629 |
$14K |
| 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 |
1,868 |
1,565 |
$10K |
| 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) |
255 |
173 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,705 |
1,366 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
340 |
252 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
126 |
92 |
$658.45 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
26 |
26 |
$381.59 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
16 |
13 |
$269.19 |
| A7036 |
Chinstrap used with positive airway pressure device |
50 |
38 |
$205.86 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
50 |
38 |
$154.27 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
24 |
24 |
$21.47 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
27 |
25 |
$10.11 |