| 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 |
15,541 |
15,010 |
$774K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,251 |
1,208 |
$461K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,451 |
6,344 |
$273K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,780 |
1,718 |
$111K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,099 |
2,036 |
$101K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
865 |
735 |
$99K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
707 |
697 |
$96K |
| 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 |
4,072 |
3,927 |
$65K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,239 |
1,190 |
$50K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,690 |
1,626 |
$50K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,391 |
1,363 |
$41K |
| 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) |
596 |
566 |
$40K |
| A7035 |
Headgear used with positive airway pressure device |
2,771 |
2,688 |
$37K |
| E0570 |
Nebulizer, with compressor |
1,175 |
1,099 |
$33K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,147 |
4,987 |
$31K |
| A7037 |
Tubing used with positive airway pressure device |
2,656 |
2,548 |
$30K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,158 |
2,094 |
$27K |
| E1392 |
Portable oxygen concentrator, rental |
1,843 |
1,802 |
$21K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,668 |
1,617 |
$12K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
309 |
293 |
$7K |
| A7036 |
Chinstrap used with positive airway pressure device |
470 |
462 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
145 |
142 |
$995.43 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
63 |
62 |
$832.44 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
26 |
25 |
$30.09 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
25 |
24 |
$10.14 |