| 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 |
24,671 |
23,392 |
$1.38M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
409 |
381 |
$301K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,342 |
8,815 |
$256K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,223 |
4,006 |
$240K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,050 |
1,004 |
$185K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,994 |
1,846 |
$160K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
3,254 |
3,154 |
$143K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
417 |
351 |
$94K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,020 |
1,874 |
$85K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,833 |
2,627 |
$75K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,104 |
1,931 |
$74K |
| 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) |
543 |
503 |
$60K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
731 |
711 |
$57K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
946 |
892 |
$41K |
| A7035 |
Headgear used with positive airway pressure device |
2,336 |
2,155 |
$40K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,814 |
2,672 |
$39K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
1,233 |
1,075 |
$38K |
| A7037 |
Tubing used with positive airway pressure device |
1,349 |
1,276 |
$31K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
113 |
103 |
$29K |
| E1392 |
Portable oxygen concentrator, rental |
1,733 |
1,602 |
$27K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
1,268 |
1,174 |
$26K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,225 |
1,120 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,282 |
3,913 |
$22K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,595 |
1,485 |
$16K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
866 |
787 |
$16K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
296 |
289 |
$15K |
| E0570 |
Nebulizer, with compressor |
774 |
731 |
$8K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
82 |
72 |
$378.75 |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
338 |
26 |
$354.71 |