| 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 |
41,799 |
36,072 |
$1.61M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,426 |
1,915 |
$634K |
| A7031 |
Face mask interface, replacement for full face mask, each |
9,276 |
8,406 |
$233K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,814 |
6,017 |
$219K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,260 |
2,802 |
$130K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,295 |
14,143 |
$123K |
| A7037 |
Tubing used with positive airway pressure device |
10,277 |
9,454 |
$106K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
8,364 |
7,350 |
$70K |
| 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) |
784 |
671 |
$57K |
| A7035 |
Headgear used with positive airway pressure device |
3,715 |
3,297 |
$42K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12,592 |
11,393 |
$38K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,075 |
973 |
$36K |
| E0570 |
Nebulizer, with compressor |
2,563 |
2,051 |
$32K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,066 |
947 |
$28K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,555 |
2,312 |
$20K |
| E1392 |
Portable oxygen concentrator, rental |
1,127 |
949 |
$8K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
587 |
551 |
$7K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
506 |
431 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
207 |
181 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,246 |
2,585 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
478 |
378 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
395 |
362 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
14 |
14 |
$276.68 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
59 |
50 |
$27.30 |