| 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 |
18,318 |
14,435 |
$801K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,204 |
921 |
$405K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,989 |
2,479 |
$205K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,320 |
4,632 |
$189K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,776 |
3,018 |
$125K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,308 |
8,277 |
$115K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,412 |
3,006 |
$62K |
| 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) |
705 |
534 |
$53K |
| A7037 |
Tubing used with positive airway pressure device |
2,881 |
2,447 |
$41K |
| A7035 |
Headgear used with positive airway pressure device |
2,367 |
1,973 |
$35K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,987 |
6,886 |
$32K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
712 |
592 |
$32K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
915 |
741 |
$22K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
541 |
466 |
$20K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
622 |
550 |
$19K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,011 |
1,636 |
$17K |
| E0570 |
Nebulizer, with compressor |
1,492 |
1,027 |
$11K |
| E1392 |
Portable oxygen concentrator, rental |
762 |
570 |
$7K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
17 |
12 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
997 |
811 |
$640.12 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
111 |
93 |
$484.63 |