| 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 |
15,131 |
14,068 |
$1.20M |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,813 |
4,581 |
$225K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,743 |
2,665 |
$179K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,979 |
7,326 |
$131K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
255 |
248 |
$103K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,968 |
4,668 |
$91K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,389 |
2,332 |
$74K |
| A7035 |
Headgear used with positive airway pressure device |
2,599 |
2,517 |
$41K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
986 |
953 |
$39K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
880 |
849 |
$38K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,427 |
7,135 |
$37K |
| A7037 |
Tubing used with positive airway pressure device |
2,590 |
2,499 |
$37K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
129 |
117 |
$29K |
| E1392 |
Portable oxygen concentrator, rental |
2,317 |
2,244 |
$22K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,058 |
1,032 |
$22K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,524 |
2,427 |
$21K |
| 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) |
172 |
170 |
$18K |
| E0570 |
Nebulizer, with compressor |
1,227 |
1,209 |
$8K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
18 |
15 |
$2K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
21 |
18 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
37 |
36 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
725 |
678 |
$664.42 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$87.66 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
16 |
16 |
$56.45 |