| 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 |
10,032 |
9,987 |
$666K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,824 |
1,819 |
$105K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,369 |
3,354 |
$99K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,961 |
1,959 |
$93K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,105 |
6,086 |
$68K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,642 |
1,639 |
$56K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,492 |
1,484 |
$48K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,363 |
1,356 |
$39K |
| E0570 |
Nebulizer, with compressor |
1,817 |
1,816 |
$28K |
| A7037 |
Tubing used with positive airway pressure device |
2,806 |
2,801 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
1,204 |
1,202 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,337 |
2,330 |
$23K |
| A7035 |
Headgear used with positive airway pressure device |
2,066 |
2,059 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,350 |
6,318 |
$15K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
37 |
36 |
$12K |
| 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) |
136 |
136 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,062 |
1,062 |
$6K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
592 |
591 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
40 |
40 |
$774.41 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
40 |
40 |
$65.87 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
12 |
12 |
$3.46 |