| 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 |
15,655 |
14,102 |
$1.03M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
554 |
519 |
$132K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,343 |
9,235 |
$114K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,061 |
972 |
$85K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,032 |
1,874 |
$77K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,174 |
1,069 |
$37K |
| E0601 |
Continuous positive airway pressure (cpap) device |
793 |
741 |
$34K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,417 |
1,308 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,059 |
2,830 |
$16K |
| E0570 |
Nebulizer, with compressor |
2,056 |
1,931 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
635 |
573 |
$10K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
13 |
12 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
424 |
378 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
391 |
351 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
526 |
478 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
16 |
12 |
$627.69 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
13 |
$432.46 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
35 |
28 |
$91.75 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
12 |
$76.93 |