| 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 |
24,281 |
19,155 |
$621K |
| E0601 |
Continuous positive airway pressure (cpap) device |
16,058 |
11,953 |
$366K |
| A7030 |
Full face mask used with positive airway pressure device, each |
8,795 |
6,374 |
$329K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,146 |
810 |
$262K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
7,917 |
5,851 |
$190K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
14,283 |
8,146 |
$156K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
7,860 |
5,930 |
$148K |
| 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 |
8,639 |
6,936 |
$121K |
| A7031 |
Face mask interface, replacement for full face mask, each |
7,038 |
5,028 |
$104K |
| A7035 |
Headgear used with positive airway pressure device |
11,356 |
8,516 |
$102K |
| 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) |
2,104 |
1,489 |
$95K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
4,395 |
3,241 |
$70K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,925 |
4,743 |
$42K |
| A7037 |
Tubing used with positive airway pressure device |
8,278 |
5,984 |
$39K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
6,426 |
4,824 |
$34K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
15,496 |
11,408 |
$32K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,684 |
1,226 |
$24K |
| E0570 |
Nebulizer, with compressor |
2,647 |
2,465 |
$20K |
| E1392 |
Portable oxygen concentrator, rental |
1,529 |
1,246 |
$11K |
| 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) |
65 |
37 |
$8K |
| A7036 |
Chinstrap used with positive airway pressure device |
732 |
542 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
266 |
216 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
84 |
67 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
563 |
406 |
$1K |
| A7000 |
Canister, disposable, used with suction pump, each |
60 |
25 |
$889.65 |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
14 |
12 |
$631.39 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
199 |
175 |
$78.44 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
190 |
168 |
$44.71 |