| 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 |
13,486 |
12,892 |
$941K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,782 |
6,504 |
$86K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
467 |
460 |
$56K |
| E0570 |
Nebulizer, with compressor |
3,083 |
2,999 |
$38K |
| A7031 |
Face mask interface, replacement for full face mask, each |
958 |
954 |
$28K |
| E1392 |
Portable oxygen concentrator, rental |
981 |
936 |
$26K |
| A7030 |
Full face mask used with positive airway pressure device, each |
553 |
552 |
$25K |
| E0601 |
Continuous positive airway pressure (cpap) device |
634 |
620 |
$23K |
| A7035 |
Headgear used with positive airway pressure device |
895 |
892 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,707 |
2,697 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
978 |
976 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
746 |
722 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
173 |
173 |
$6K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
127 |
127 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
801 |
769 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
28 |
28 |
$796.53 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
139 |
139 |
$665.92 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
25 |
25 |
$323.08 |
| A7015 |
Aerosol mask, used with dme nebulizer |
38 |
38 |
$29.78 |