| 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 |
15,292 |
14,375 |
$1.15M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,460 |
1,394 |
$566K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,648 |
9,949 |
$158K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,159 |
3,052 |
$120K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,624 |
1,589 |
$79K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,406 |
3,234 |
$53K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,457 |
1,429 |
$39K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
889 |
868 |
$20K |
| A7035 |
Headgear used with positive airway pressure device |
1,560 |
1,529 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,325 |
4,175 |
$17K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
489 |
477 |
$15K |
| E1392 |
Portable oxygen concentrator, rental |
1,287 |
1,257 |
$14K |
| E0570 |
Nebulizer, with compressor |
2,272 |
2,246 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
1,309 |
1,282 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,247 |
1,213 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
174 |
164 |
$6K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
195 |
187 |
$5K |
| 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) |
26 |
26 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
219 |
209 |
$201.95 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
27 |
27 |
$154.73 |