| 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 |
20,690 |
18,245 |
$1.39M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,635 |
8,503 |
$116K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,448 |
1,273 |
$99K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,736 |
2,405 |
$85K |
| A7030 |
Full face mask used with positive airway pressure device, each |
984 |
888 |
$80K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
1,109 |
983 |
$76K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
873 |
734 |
$52K |
| A7037 |
Tubing used with positive airway pressure device |
2,343 |
2,081 |
$40K |
| 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 |
1,319 |
1,175 |
$34K |
| 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) |
236 |
216 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
1,791 |
1,592 |
$31K |
| E0570 |
Nebulizer, with compressor |
1,066 |
900 |
$31K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,742 |
3,334 |
$17K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
435 |
387 |
$14K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
616 |
544 |
$4K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
44 |
38 |
$4K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
63 |
38 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
283 |
252 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
29 |
25 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
39 |
38 |
$132.78 |