| 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 |
41,392 |
39,397 |
$3.35M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,943 |
3,730 |
$1.77M |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
6,303 |
5,987 |
$347K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
19,819 |
18,822 |
$278K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
630 |
596 |
$177K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,153 |
1,882 |
$118K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,358 |
1,230 |
$80K |
| E0570 |
Nebulizer, with compressor |
3,084 |
2,928 |
$71K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,171 |
993 |
$57K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,702 |
1,524 |
$46K |
| A7037 |
Tubing used with positive airway pressure device |
2,275 |
2,103 |
$31K |
| E1392 |
Portable oxygen concentrator, rental |
1,954 |
1,845 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,336 |
1,224 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,251 |
2,943 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
978 |
874 |
$8K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
119 |
115 |
$5K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
243 |
173 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
99 |
85 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,462 |
1,360 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
399 |
226 |
$2K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
13 |
13 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
36 |
28 |
$650.62 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
12 |
$143.97 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
39 |
36 |
$18.15 |