| 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 |
14,245 |
13,768 |
$1.09M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,637 |
7,374 |
$108K |
| E1392 |
Portable oxygen concentrator, rental |
1,324 |
1,277 |
$63K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,012 |
1,007 |
$47K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,487 |
1,480 |
$43K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
584 |
583 |
$25K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
223 |
215 |
$17K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
526 |
524 |
$17K |
| E0601 |
Continuous positive airway pressure (cpap) device |
537 |
527 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
1,296 |
1,291 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,895 |
3,847 |
$15K |
| E0570 |
Nebulizer, with compressor |
3,067 |
3,004 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
1,139 |
1,134 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
645 |
629 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
311 |
310 |
$4K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
41 |
36 |
$3K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
13 |
12 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
315 |
315 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
831 |
793 |
$1K |