| 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 |
20,514 |
17,637 |
$1.62M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,777 |
7,891 |
$115K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,244 |
1,843 |
$84K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
312 |
264 |
$78K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
348 |
295 |
$59K |
| A7030 |
Full face mask used with positive airway pressure device, each |
921 |
735 |
$25K |
| 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 |
3,242 |
2,470 |
$12K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
710 |
619 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
926 |
741 |
$10K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
347 |
316 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,819 |
1,336 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
942 |
761 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
700 |
545 |
$7K |
| E0570 |
Nebulizer, with compressor |
206 |
192 |
$2K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
76 |
69 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
98 |
68 |
$2K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
48 |
38 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
294 |
247 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
107 |
102 |
$936.24 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
31 |
25 |
$468.17 |
| 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) |
13 |
12 |
$441.46 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
24 |
14 |
$194.00 |