| 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 |
14,553 |
13,278 |
$541K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
513 |
406 |
$178K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,993 |
6,301 |
$99K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,380 |
1,280 |
$59K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
94 |
60 |
$28K |
| E0570 |
Nebulizer, with compressor |
2,414 |
2,098 |
$27K |
| E1392 |
Portable oxygen concentrator, rental |
420 |
400 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
446 |
418 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,577 |
3,336 |
$8K |
| 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) |
86 |
75 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
506 |
461 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
157 |
150 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
457 |
416 |
$5K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
161 |
141 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
126 |
110 |
$4K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
36 |
24 |
$921.86 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
43 |
29 |
$863.45 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
670 |
561 |
$776.04 |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
32 |
25 |
$722.00 |
| A7526 |
Tracheostomy tube collar/holder, each |
31 |
26 |
$703.00 |
| A7000 |
Canister, disposable, used with suction pump, each |
54 |
40 |
$419.75 |
| A7002 |
Tubing, used with suction pump, each |
55 |
42 |
$211.72 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$135.46 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12 |
12 |
$117.17 |