| 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 |
20,893 |
20,418 |
$1.12M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,651 |
2,614 |
$934K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,438 |
11,185 |
$123K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,701 |
1,696 |
$48K |
| E1392 |
Portable oxygen concentrator, rental |
3,960 |
3,857 |
$37K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,366 |
1,345 |
$33K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,341 |
1,334 |
$32K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,103 |
2,082 |
$28K |
| E0570 |
Nebulizer, with compressor |
3,789 |
3,765 |
$27K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
936 |
932 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,991 |
3,949 |
$20K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,434 |
1,425 |
$19K |
| A7035 |
Headgear used with positive airway pressure device |
1,469 |
1,462 |
$12K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
368 |
364 |
$11K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
693 |
691 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,454 |
1,449 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
329 |
326 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
193 |
193 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,875 |
1,776 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
51 |
50 |
$184.50 |