| 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 |
12,198 |
10,946 |
$409K |
| E0601 |
Continuous positive airway pressure (cpap) device |
11,634 |
10,398 |
$236K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,735 |
3,207 |
$181K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,693 |
1,412 |
$134K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,428 |
2,992 |
$128K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,342 |
3,738 |
$101K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
516 |
443 |
$85K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,409 |
2,063 |
$75K |
| A7035 |
Headgear used with positive airway pressure device |
5,810 |
4,994 |
$67K |
| A7037 |
Tubing used with positive airway pressure device |
6,311 |
5,337 |
$63K |
| 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) |
1,407 |
1,168 |
$57K |
| 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 |
701 |
656 |
$47K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,220 |
1,926 |
$36K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,343 |
6,414 |
$27K |
| E0570 |
Nebulizer, with compressor |
3,439 |
2,988 |
$27K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
113 |
113 |
$23K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
618 |
460 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,839 |
2,359 |
$15K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
3,177 |
2,709 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
2,117 |
1,734 |
$10K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
199 |
166 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
807 |
673 |
$1K |
| A7000 |
Canister, disposable, used with suction pump, each |
19 |
12 |
$145.38 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
28 |
26 |
$10.74 |