| 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 |
24,175 |
23,021 |
$726K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
560 |
541 |
$225K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,568 |
2,409 |
$138K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14,935 |
14,207 |
$101K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,932 |
2,754 |
$73K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,245 |
3,039 |
$64K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,866 |
1,765 |
$63K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,027 |
1,896 |
$57K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,282 |
2,149 |
$55K |
| E0570 |
Nebulizer, with compressor |
3,469 |
3,338 |
$32K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,957 |
6,560 |
$26K |
| A7035 |
Headgear used with positive airway pressure device |
2,663 |
2,473 |
$25K |
| A7037 |
Tubing used with positive airway pressure device |
1,935 |
1,830 |
$25K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,622 |
1,500 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
2,424 |
2,349 |
$19K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
735 |
697 |
$17K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,109 |
1,968 |
$12K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
561 |
551 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
991 |
896 |
$950.88 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
79 |
76 |
$728.49 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
140 |
134 |
$454.62 |
| 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) |
26 |
25 |
$362.37 |