| 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 |
27,636 |
24,530 |
$1.43M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,359 |
1,147 |
$415K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,178 |
9,135 |
$103K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,341 |
2,124 |
$77K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,116 |
1,926 |
$70K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,419 |
1,286 |
$69K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,389 |
1,246 |
$51K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,717 |
5,163 |
$46K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,632 |
1,478 |
$45K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
948 |
837 |
$43K |
| A7037 |
Tubing used with positive airway pressure device |
2,497 |
2,214 |
$41K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,801 |
1,615 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
1,964 |
1,778 |
$32K |
| E0570 |
Nebulizer, with compressor |
2,943 |
2,568 |
$24K |
| E1392 |
Portable oxygen concentrator, rental |
1,852 |
1,574 |
$13K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
355 |
313 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
986 |
897 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,776 |
1,570 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
12 |
12 |
$865.64 |
| 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) |
14 |
12 |
$543.92 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
20 |
18 |
$11.51 |