| 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 |
2,908 |
2,818 |
$196K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
64 |
62 |
$54K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,213 |
1,145 |
$44K |
| A7030 |
Full face mask used with positive airway pressure device, each |
528 |
499 |
$39K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,035 |
1,971 |
$31K |
| A7037 |
Tubing used with positive airway pressure device |
1,217 |
1,181 |
$18K |
| E0601 |
Continuous positive airway pressure (cpap) device |
325 |
320 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
338 |
322 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,106 |
2,000 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
403 |
382 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
108 |
107 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
348 |
334 |
$2K |
| E0570 |
Nebulizer, with compressor |
284 |
281 |
$589.60 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
13 |
$52.52 |