| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,073 |
993 |
$499K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
12,092 |
11,168 |
$481K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,262 |
2,981 |
$49K |
| 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 |
3,822 |
3,576 |
$43K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,814 |
1,600 |
$32K |
| A7030 |
Full face mask used with positive airway pressure device, each |
524 |
488 |
$22K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
606 |
560 |
$18K |
| E1392 |
Portable oxygen concentrator, rental |
1,494 |
1,448 |
$15K |
| E0570 |
Nebulizer, with compressor |
1,113 |
1,098 |
$14K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
731 |
688 |
$12K |
| A7031 |
Face mask interface, replacement for full face mask, each |
441 |
408 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
930 |
867 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,337 |
1,221 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
52 |
42 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
296 |
278 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
430 |
407 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
45 |
39 |
$1K |
| 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) |
15 |
12 |
$247.17 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$82.45 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
15 |
15 |
$23.83 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
13 |
$3.50 |