| 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 |
13,191 |
13,142 |
$633K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,528 |
5,515 |
$46K |
| A7030 |
Full face mask used with positive airway pressure device, each |
977 |
969 |
$37K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,246 |
1,239 |
$34K |
| E0601 |
Continuous positive airway pressure (cpap) device |
648 |
645 |
$18K |
| E0570 |
Nebulizer, with compressor |
2,587 |
2,587 |
$15K |
| E1392 |
Portable oxygen concentrator, rental |
1,241 |
1,227 |
$14K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
893 |
880 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,356 |
1,349 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
719 |
711 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,144 |
2,122 |
$4K |
| 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) |
12 |
12 |
$993.54 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
842 |
807 |
$799.05 |
| A7037 |
Tubing used with positive airway pressure device |
65 |
65 |
$602.91 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
252 |
250 |
$440.73 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
75 |
75 |
$339.42 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
38 |
38 |
$261.48 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$0.42 |