| 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 |
9,557 |
8,097 |
$399K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
726 |
650 |
$185K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,500 |
1,351 |
$44K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,137 |
1,000 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,057 |
3,313 |
$31K |
| A7030 |
Full face mask used with positive airway pressure device, each |
412 |
345 |
$26K |
| E1392 |
Portable oxygen concentrator, rental |
2,389 |
1,905 |
$20K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,259 |
1,136 |
$17K |
| E0570 |
Nebulizer, with compressor |
2,638 |
2,193 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,964 |
2,638 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
871 |
705 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
422 |
367 |
$5K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
151 |
127 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
34 |
32 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
157 |
137 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
31 |
27 |
$867.94 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
31 |
25 |
$823.43 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
157 |
135 |
$292.84 |