| 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 |
18,543 |
14,871 |
$971K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,924 |
9,546 |
$103K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,778 |
1,380 |
$76K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,609 |
2,164 |
$59K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,409 |
1,170 |
$47K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,195 |
1,785 |
$20K |
| 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) |
223 |
171 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
1,810 |
1,445 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,895 |
3,267 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
1,388 |
1,102 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
1,419 |
1,110 |
$12K |
| E0570 |
Nebulizer, with compressor |
1,714 |
1,383 |
$6K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
698 |
564 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
813 |
668 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
90 |
77 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
103 |
83 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
13 |
$740.36 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
157 |
118 |
$478.35 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
426 |
337 |
$363.96 |