| 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 |
39,808 |
29,222 |
$1.71M |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,666 |
3,461 |
$215K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
21,949 |
16,605 |
$188K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
807 |
587 |
$182K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,415 |
1,906 |
$130K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,591 |
2,460 |
$106K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,735 |
2,009 |
$79K |
| E1392 |
Portable oxygen concentrator, rental |
7,244 |
4,935 |
$72K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,112 |
2,512 |
$68K |
| E0570 |
Nebulizer, with compressor |
7,106 |
4,928 |
$67K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,746 |
2,170 |
$60K |
| A7035 |
Headgear used with positive airway pressure device |
3,820 |
3,074 |
$56K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,892 |
9,386 |
$53K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,218 |
1,696 |
$38K |
| A7037 |
Tubing used with positive airway pressure device |
2,436 |
1,841 |
$26K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,180 |
1,733 |
$24K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,683 |
2,176 |
$19K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
832 |
771 |
$11K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
431 |
406 |
$5K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
584 |
319 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
285 |
210 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,519 |
1,078 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
116 |
87 |
$579.91 |