| 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 |
15,106 |
11,875 |
$459K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,165 |
1,076 |
$413K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,321 |
8,189 |
$141K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,098 |
1,956 |
$119K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,362 |
3,144 |
$86K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,985 |
2,750 |
$76K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,100 |
3,525 |
$51K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,099 |
1,044 |
$42K |
| A7037 |
Tubing used with positive airway pressure device |
2,832 |
2,600 |
$33K |
| A7035 |
Headgear used with positive airway pressure device |
2,321 |
2,194 |
$33K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,633 |
5,211 |
$21K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
920 |
854 |
$17K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,399 |
2,249 |
$15K |
| E1392 |
Portable oxygen concentrator, rental |
936 |
830 |
$6K |
| E0570 |
Nebulizer, with compressor |
1,615 |
1,392 |
$5K |
| 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) |
121 |
95 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
37 |
37 |
$885.40 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
72 |
69 |
$476.25 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
102 |
100 |
$357.06 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
96 |
91 |
$244.44 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
94 |
83 |
$64.90 |