| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
1,599 |
1,068 |
$44K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,227 |
1,581 |
$23K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
533 |
409 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
1,450 |
969 |
$7K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,301 |
878 |
$6K |
| A7030 |
Full face mask used with positive airway pressure device, each |
298 |
171 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
639 |
423 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
458 |
294 |
$916.10 |
| A7035 |
Headgear used with positive airway pressure device |
239 |
134 |
$384.31 |
| A7015 |
Aerosol mask, used with dme nebulizer |
449 |
301 |
$381.09 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
40 |
26 |
$371.52 |
| 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) |
24 |
24 |
$289.84 |
| A7031 |
Face mask interface, replacement for full face mask, each |
20 |
12 |
$159.96 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
97 |
66 |
$65.80 |