| 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 |
13,843 |
11,801 |
$372K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
379 |
292 |
$101K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,630 |
5,717 |
$44K |
| A7031 |
Face mask interface, replacement for full face mask, each |
908 |
771 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
1,423 |
1,245 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,222 |
1,038 |
$9K |
| E0601 |
Continuous positive airway pressure (cpap) device |
226 |
208 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,164 |
1,849 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
149 |
117 |
$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) |
38 |
38 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
426 |
355 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
146 |
132 |
$2K |
| E0570 |
Nebulizer, with compressor |
230 |
150 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
64 |
58 |
$525.88 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
144 |
122 |
$436.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
476 |
361 |
$276.47 |