| 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 |
8,350 |
7,150 |
$350K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,576 |
6,665 |
$261K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,921 |
3,432 |
$151K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,534 |
4,809 |
$147K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,849 |
3,444 |
$144K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,128 |
2,811 |
$139K |
| A7037 |
Tubing used with positive airway pressure device |
6,870 |
6,186 |
$76K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,378 |
2,071 |
$63K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,033 |
4,611 |
$57K |
| A7035 |
Headgear used with positive airway pressure device |
4,590 |
4,190 |
$54K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
13,571 |
11,552 |
$49K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,618 |
4,890 |
$48K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,498 |
3,176 |
$26K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
805 |
749 |
$26K |
| E0570 |
Nebulizer, with compressor |
1,787 |
1,487 |
$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) |
263 |
209 |
$6K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
931 |
822 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
26 |
25 |
$110.32 |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
13 |
13 |
$0.00 |