| 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 |
18,983 |
16,458 |
$1.01M |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,193 |
3,919 |
$232K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,996 |
1,823 |
$161K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,725 |
3,472 |
$130K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,271 |
2,983 |
$93K |
| E1392 |
Portable oxygen concentrator, rental |
6,831 |
5,822 |
$89K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,565 |
1,419 |
$76K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,961 |
1,810 |
$75K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,899 |
4,580 |
$73K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,974 |
6,115 |
$67K |
| A7035 |
Headgear used with positive airway pressure device |
2,272 |
2,044 |
$38K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,028 |
6,513 |
$37K |
| E0570 |
Nebulizer, with compressor |
2,559 |
2,280 |
$19K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
513 |
482 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,554 |
1,409 |
$12K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
52 |
49 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
175 |
161 |
$3K |
| 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) |
13 |
13 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
229 |
205 |
$317.08 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
44 |
37 |
$168.87 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
21 |
12 |
$139.36 |