| 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 |
15,526 |
10,594 |
$457K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,078 |
4,850 |
$191K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
262 |
211 |
$160K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,373 |
918 |
$67K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,252 |
1,910 |
$54K |
| E1392 |
Portable oxygen concentrator, rental |
4,707 |
3,302 |
$47K |
| 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 |
3,423 |
2,320 |
$38K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
879 |
615 |
$34K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,054 |
718 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
1,919 |
1,318 |
$21K |
| 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) |
95 |
89 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
2,100 |
1,371 |
$16K |
| E0570 |
Nebulizer, with compressor |
2,553 |
1,735 |
$15K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
316 |
263 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,361 |
2,271 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,281 |
934 |
$10K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
125 |
111 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
660 |
476 |
$5K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
113 |
107 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
38 |
31 |
$543.84 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
33 |
29 |
$16.37 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
36 |
29 |
$15.00 |