| 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 |
39,815 |
19,482 |
$4.36M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,899 |
889 |
$1.77M |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
7,093 |
3,458 |
$785K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,474 |
3,613 |
$424K |
| E0444 |
Portable oxygen contents, liquid, 1 month's supply = 1 unit |
8,714 |
4,084 |
$405K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
19,202 |
6,204 |
$352K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
15,814 |
7,671 |
$294K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
5,954 |
2,911 |
$280K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12,007 |
5,667 |
$215K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
551 |
269 |
$181K |
| E0570 |
Nebulizer, with compressor |
16,309 |
7,433 |
$177K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,109 |
496 |
$123K |
| E1392 |
Portable oxygen concentrator, rental |
3,177 |
1,597 |
$101K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,984 |
941 |
$82K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
898 |
419 |
$63K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
891 |
420 |
$42K |
| 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) |
283 |
140 |
$37K |
| A7037 |
Tubing used with positive airway pressure device |
1,497 |
699 |
$36K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
914 |
445 |
$30K |
| A7035 |
Headgear used with positive airway pressure device |
1,266 |
584 |
$27K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,135 |
1,971 |
$26K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
334 |
162 |
$13K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
800 |
380 |
$9K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
259 |
113 |
$846.62 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
84 |
39 |
$591.30 |