| 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 |
9,258 |
7,228 |
$283K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
817 |
735 |
$160K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,273 |
1,165 |
$64K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,639 |
3,540 |
$61K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,582 |
1,422 |
$34K |
| A7037 |
Tubing used with positive airway pressure device |
1,810 |
1,651 |
$25K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,238 |
957 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,356 |
1,232 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,337 |
3,043 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,496 |
1,382 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,147 |
842 |
$10K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
192 |
151 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
497 |
397 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
71 |
64 |
$2K |
| E0570 |
Nebulizer, with compressor |
741 |
518 |
$2K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
17 |
15 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
402 |
371 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
12 |
$425.29 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
15 |
13 |
$248.86 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$4.55 |