| 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 |
19,698 |
17,758 |
$815K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,461 |
1,259 |
$415K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,683 |
6,232 |
$281K |
| 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) |
1,103 |
1,053 |
$115K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,491 |
1,351 |
$101K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,697 |
6,010 |
$95K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,424 |
1,340 |
$61K |
| 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 |
2,624 |
2,426 |
$48K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
364 |
292 |
$34K |
| E0570 |
Nebulizer, with compressor |
1,659 |
1,537 |
$29K |
| A7035 |
Headgear used with positive airway pressure device |
1,951 |
1,816 |
$27K |
| A7037 |
Tubing used with positive airway pressure device |
2,662 |
2,474 |
$27K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
759 |
707 |
$19K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
111 |
86 |
$15K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,791 |
1,671 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,047 |
3,527 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
659 |
598 |
$8K |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
435 |
371 |
$8K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
784 |
706 |
$7K |
| A6266 |
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard |
66 |
37 |
$6K |
| A6252 |
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
118 |
95 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
189 |
173 |
$3K |
| A4450 |
Tape, non-waterproof, per 18 square inches |
561 |
502 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
193 |
178 |
$2K |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
62 |
55 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
205 |
196 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
41 |
39 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
228 |
211 |
$574.14 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
103 |
102 |
$39.15 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
51 |
48 |
$3.46 |