| 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 |
103,860 |
101,944 |
$8.78M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
66,559 |
65,316 |
$1.16M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
905 |
899 |
$458K |
| A7031 |
Face mask interface, replacement for full face mask, each |
11,615 |
11,526 |
$362K |
| S9342 |
Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
663 |
590 |
$352K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,602 |
4,566 |
$313K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,008 |
3,990 |
$264K |
| E1392 |
Portable oxygen concentrator, rental |
2,428 |
2,384 |
$151K |
| A7035 |
Headgear used with positive airway pressure device |
12,315 |
12,252 |
$148K |
| A7037 |
Tubing used with positive airway pressure device |
14,092 |
14,038 |
$119K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
45,886 |
45,603 |
$106K |
| E0570 |
Nebulizer, with compressor |
2,223 |
2,179 |
$103K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,313 |
2,307 |
$77K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,151 |
2,137 |
$65K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,087 |
4,062 |
$61K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
978 |
976 |
$26K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
114 |
107 |
$20K |
| 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) |
193 |
193 |
$16K |
| B4161 |
Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
19 |
12 |
$13K |
| S9343 |
Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
18 |
14 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
859 |
858 |
$6K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
40 |
40 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
171 |
171 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
680 |
670 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
126 |
125 |
$234.77 |
| A7015 |
Aerosol mask, used with dme nebulizer |
55 |
55 |
$37.72 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
96 |
96 |
$9.28 |