| 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 |
9,832 |
8,211 |
$320K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
433 |
337 |
$63K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,434 |
1,336 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,168 |
3,404 |
$35K |
| E1392 |
Portable oxygen concentrator, rental |
3,909 |
3,295 |
$33K |
| A7030 |
Full face mask used with positive airway pressure device, each |
891 |
738 |
$24K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,510 |
1,292 |
$20K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,250 |
1,033 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
709 |
563 |
$12K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,659 |
1,519 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
577 |
453 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
1,024 |
846 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,875 |
2,380 |
$4K |
| E0570 |
Nebulizer, with compressor |
992 |
831 |
$4K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
93 |
82 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
695 |
575 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
120 |
91 |
$329.22 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
17 |
17 |
$23.07 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
41 |
38 |
$19.32 |