| 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 |
6,040 |
4,926 |
$118K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,252 |
3,361 |
$25K |
| E0601 |
Continuous positive airway pressure (cpap) device |
550 |
491 |
$14K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
603 |
543 |
$3K |
| E0570 |
Nebulizer, with compressor |
781 |
622 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
608 |
533 |
$2K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
13 |
12 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
159 |
135 |
$443.59 |
| A7030 |
Full face mask used with positive airway pressure device, each |
181 |
161 |
$324.67 |
| A7037 |
Tubing used with positive airway pressure device |
344 |
286 |
$121.57 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
731 |
585 |
$82.88 |
| A7035 |
Headgear used with positive airway pressure device |
116 |
100 |
$25.82 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
16 |
13 |
$13.91 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
71 |
59 |
$0.00 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
16 |
14 |
$0.00 |