| 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 |
7,665 |
5,572 |
$264K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,890 |
1,770 |
$108K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
273 |
256 |
$76K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,135 |
3,806 |
$67K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,458 |
2,266 |
$62K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,960 |
1,860 |
$50K |
| A7037 |
Tubing used with positive airway pressure device |
2,563 |
2,343 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
1,898 |
1,760 |
$26K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,915 |
2,459 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,774 |
4,395 |
$18K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,220 |
2,069 |
$17K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
238 |
207 |
$7K |
| E0570 |
Nebulizer, with compressor |
1,736 |
1,087 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
484 |
377 |
$4K |
| 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) |
62 |
50 |
$2K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
17 |
12 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
40 |
36 |
$518.98 |