| 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 |
13,381 |
9,616 |
$369K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,993 |
1,511 |
$364K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,488 |
2,064 |
$109K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,115 |
4,334 |
$103K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,744 |
1,403 |
$49K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,331 |
2,860 |
$43K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,018 |
1,675 |
$40K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,732 |
1,580 |
$32K |
| A7037 |
Tubing used with positive airway pressure device |
3,127 |
2,641 |
$28K |
| A7035 |
Headgear used with positive airway pressure device |
2,923 |
2,405 |
$27K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,347 |
2,838 |
$25K |
| E1392 |
Portable oxygen concentrator, rental |
1,548 |
1,378 |
$16K |
| 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) |
467 |
289 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,236 |
3,477 |
$14K |
| E0570 |
Nebulizer, with compressor |
1,699 |
1,421 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,747 |
1,494 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
374 |
305 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
328 |
255 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
87 |
76 |
$240.44 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
12 |
$165.75 |
| A7036 |
Chinstrap used with positive airway pressure device |
20 |
16 |
$63.79 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
14 |
12 |
$5.92 |