| 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 |
21,498 |
12,824 |
$601K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
771 |
380 |
$143K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,021 |
2,548 |
$118K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,461 |
1,630 |
$113K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,185 |
2,151 |
$76K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,151 |
6,624 |
$56K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,887 |
3,093 |
$40K |
| A7037 |
Tubing used with positive airway pressure device |
2,788 |
1,894 |
$25K |
| A7035 |
Headgear used with positive airway pressure device |
1,856 |
1,303 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,312 |
3,858 |
$18K |
| E0570 |
Nebulizer, with compressor |
3,220 |
2,043 |
$15K |
| E1392 |
Portable oxygen concentrator, rental |
1,308 |
824 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
163 |
137 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
54 |
41 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
289 |
205 |
$950.01 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
16 |
13 |
$744.21 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,497 |
984 |
$618.65 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
14 |
13 |
$456.58 |