| 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 |
12,851 |
12,750 |
$868K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,895 |
7,856 |
$421K |
| 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) |
1,484 |
1,439 |
$162K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,426 |
3,397 |
$162K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,365 |
2,335 |
$130K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,132 |
3,088 |
$98K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,414 |
4,380 |
$68K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,880 |
2,858 |
$67K |
| E0570 |
Nebulizer, with compressor |
1,587 |
1,582 |
$48K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,360 |
1,344 |
$45K |
| A7035 |
Headgear used with positive airway pressure device |
4,315 |
4,276 |
$38K |
| E1392 |
Portable oxygen concentrator, rental |
1,973 |
1,958 |
$24K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
302 |
296 |
$23K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,711 |
3,683 |
$22K |
| A7037 |
Tubing used with positive airway pressure device |
2,363 |
2,340 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,357 |
6,905 |
$17K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
443 |
443 |
$12K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
80 |
80 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,784 |
1,773 |
$5K |
| 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 |
482 |
469 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
287 |
286 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
490 |
488 |
$748.98 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
39 |
39 |
$170.84 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$8.88 |