| 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 |
9,796 |
9,095 |
$363K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
501 |
475 |
$165K |
| A7030 |
Full face mask used with positive airway pressure device, each |
897 |
825 |
$51K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,849 |
2,534 |
$44K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,462 |
1,300 |
$25K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,320 |
1,140 |
$24K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
817 |
492 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
2,154 |
1,961 |
$14K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,292 |
1,178 |
$14K |
| E0570 |
Nebulizer, with compressor |
2,055 |
1,859 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
373 |
348 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,142 |
2,703 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
937 |
852 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
619 |
569 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
742 |
689 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
269 |
229 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,947 |
1,775 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
83 |
79 |
$362.09 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
55 |
53 |
$73.53 |