| 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 |
5,250 |
4,655 |
$362K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
387 |
352 |
$171K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
1,303 |
1,198 |
$69K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,459 |
2,368 |
$35K |
| E0601 |
Continuous positive airway pressure (cpap) device |
96 |
95 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
44 |
44 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
38 |
38 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
103 |
99 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
375 |
367 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
40 |
40 |
$905.98 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
45 |
24 |
$221.66 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
13 |
$24.79 |