| 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 |
13,690 |
13,597 |
$759K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
189 |
189 |
$84K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,242 |
6,163 |
$63K |
| E0601 |
Continuous positive airway pressure (cpap) device |
710 |
703 |
$26K |
| E0570 |
Nebulizer, with compressor |
2,457 |
2,410 |
$15K |
| A7031 |
Face mask interface, replacement for full face mask, each |
241 |
238 |
$6K |
| A7030 |
Full face mask used with positive airway pressure device, each |
146 |
146 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
785 |
772 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
428 |
421 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
234 |
234 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
131 |
129 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
61 |
61 |
$964.18 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
699 |
647 |
$723.01 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
64 |
64 |
$245.40 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
24 |
24 |
$167.92 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$30.88 |