| 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 |
10,533 |
8,630 |
$273K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,693 |
4,685 |
$73K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,468 |
1,312 |
$54K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
82 |
76 |
$31K |
| E0570 |
Nebulizer, with compressor |
3,868 |
2,887 |
$22K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,512 |
1,338 |
$12K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
91 |
75 |
$10K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
29 |
26 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
2,013 |
1,607 |
$6K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
32 |
26 |
$5K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,643 |
2,039 |
$4K |
| A7002 |
Tubing, used with suction pump, each |
488 |
405 |
$797.75 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,313 |
1,084 |
$743.25 |
| A7031 |
Face mask interface, replacement for full face mask, each |
139 |
121 |
$574.08 |
| A7526 |
Tracheostomy tube collar/holder, each |
104 |
89 |
$508.70 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
13 |
$318.30 |
| A7030 |
Full face mask used with positive airway pressure device, each |
163 |
144 |
$267.95 |
| A7000 |
Canister, disposable, used with suction pump, each |
155 |
124 |
$229.47 |
| A7037 |
Tubing used with positive airway pressure device |
203 |
177 |
$199.04 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
90 |
81 |
$92.87 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
19 |
12 |
$50.86 |
| A7035 |
Headgear used with positive airway pressure device |
136 |
118 |
$46.32 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
46 |
42 |
$21.36 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
68 |
54 |
$15.85 |