| 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 |
7,022 |
5,588 |
$242K |
| E0570 |
Nebulizer, with compressor |
2,355 |
1,786 |
$39K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,196 |
997 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,489 |
2,701 |
$26K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,321 |
1,054 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,239 |
1,076 |
$15K |
| A7030 |
Full face mask used with positive airway pressure device, each |
243 |
189 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
214 |
164 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,437 |
1,135 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
545 |
411 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
311 |
243 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
216 |
182 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
178 |
151 |
$2K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
163 |
102 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
40 |
37 |
$1K |
| 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) |
13 |
12 |
$980.88 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
214 |
170 |
$649.78 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
15 |
12 |
$610.32 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$115.61 |
| 0013A |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$0.00 |
| 90674 |
|
26 |
26 |
$0.00 |