| 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 |
3,515 |
3,482 |
$107K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
109 |
107 |
$34K |
| A7030 |
Full face mask used with positive airway pressure device, each |
630 |
621 |
$25K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,177 |
1,153 |
$24K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,756 |
2,727 |
$16K |
| A7031 |
Face mask interface, replacement for full face mask, each |
504 |
495 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
340 |
329 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
595 |
583 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,206 |
1,185 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
95 |
89 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
226 |
213 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
177 |
176 |
$2K |
| E0570 |
Nebulizer, with compressor |
1,644 |
1,637 |
$2K |
| 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) |
13 |
13 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
735 |
727 |
$1K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
147 |
147 |
$981.29 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
27 |
27 |
$732.80 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
100 |
98 |
$148.49 |