| 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 |
12,336 |
12,216 |
$574K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
398 |
397 |
$200K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,631 |
4,606 |
$168K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,163 |
3,140 |
$123K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,039 |
3,998 |
$103K |
| 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) |
799 |
798 |
$76K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,831 |
5,809 |
$70K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,491 |
5,466 |
$47K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,055 |
2,051 |
$44K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,713 |
6,636 |
$41K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,538 |
1,533 |
$37K |
| A7035 |
Headgear used with positive airway pressure device |
3,300 |
3,282 |
$33K |
| A7037 |
Tubing used with positive airway pressure device |
2,767 |
2,749 |
$30K |
| E0570 |
Nebulizer, with compressor |
2,564 |
2,552 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
3,381 |
3,307 |
$19K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,333 |
2,316 |
$18K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
973 |
965 |
$18K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,557 |
3,540 |
$13K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,897 |
1,804 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
144 |
144 |
$657.38 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
17 |
17 |
$302.56 |
| A7036 |
Chinstrap used with positive airway pressure device |
12 |
12 |
$49.46 |
| A7015 |
Aerosol mask, used with dme nebulizer |
51 |
51 |
$28.67 |