| 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 |
10,552 |
9,993 |
$686K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
972 |
947 |
$334K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,001 |
3,790 |
$54K |
| A7030 |
Full face mask used with positive airway pressure device, each |
470 |
447 |
$28K |
| A7031 |
Face mask interface, replacement for full face mask, each |
585 |
547 |
$20K |
| E0601 |
Continuous positive airway pressure (cpap) device |
590 |
566 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,870 |
1,793 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
322 |
318 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
374 |
369 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
332 |
317 |
$5K |
| E0570 |
Nebulizer, with compressor |
500 |
495 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
16 |
16 |
$700.93 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
361 |
354 |
$577.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
57 |
57 |
$437.92 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
29 |
28 |
$290.55 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
25 |
25 |
$172.05 |