| 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 |
34,784 |
32,542 |
$1.73M |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
8,122 |
7,439 |
$368K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
21,860 |
20,488 |
$232K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,797 |
1,641 |
$122K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,439 |
2,082 |
$96K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
202 |
191 |
$76K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,430 |
1,204 |
$67K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,148 |
1,959 |
$64K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,300 |
1,171 |
$46K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,093 |
1,852 |
$44K |
| A7035 |
Headgear used with positive airway pressure device |
2,211 |
2,014 |
$33K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,876 |
1,723 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,725 |
4,326 |
$14K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
504 |
441 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
1,178 |
1,094 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
420 |
395 |
$5K |
| E0570 |
Nebulizer, with compressor |
597 |
538 |
$4K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
256 |
126 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
70 |
65 |
$1K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
218 |
132 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
345 |
292 |
$358.93 |