| 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 |
22,927 |
22,901 |
$1.39M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,672 |
2,671 |
$1.14M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
17,374 |
17,342 |
$199K |
| E0570 |
Nebulizer, with compressor |
5,455 |
5,442 |
$32K |
| E0601 |
Continuous positive airway pressure (cpap) device |
742 |
736 |
$32K |
| E1392 |
Portable oxygen concentrator, rental |
1,303 |
1,302 |
$19K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
586 |
586 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
681 |
677 |
$11K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
636 |
634 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
562 |
556 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
37 |
37 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
109 |
108 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,355 |
2,232 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
24 |
24 |
$778.65 |
| A7035 |
Headgear used with positive airway pressure device |
24 |
24 |
$320.18 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
24 |
24 |
$199.56 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
13 |
$3.84 |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
20 |
12 |
$0.00 |