| 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 |
43,231 |
41,797 |
$1.72M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
6,895 |
6,652 |
$1.56M |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
15,147 |
14,589 |
$200K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
15,440 |
15,073 |
$136K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,342 |
4,021 |
$104K |
| E0570 |
Nebulizer, with compressor |
8,287 |
8,044 |
$71K |
| E1392 |
Portable oxygen concentrator, rental |
6,099 |
5,888 |
$69K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,234 |
1,160 |
$64K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
71 |
66 |
$40K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
615 |
587 |
$34K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
954 |
915 |
$27K |
| A7035 |
Headgear used with positive airway pressure device |
1,963 |
1,852 |
$20K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,512 |
1,454 |
$15K |
| A7037 |
Tubing used with positive airway pressure device |
1,842 |
1,745 |
$15K |
| A7031 |
Face mask interface, replacement for full face mask, each |
776 |
716 |
$14K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
148 |
145 |
$14K |
| 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) |
286 |
263 |
$12K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
398 |
389 |
$9K |
| A7000 |
Canister, disposable, used with suction pump, each |
887 |
694 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,528 |
2,382 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
880 |
835 |
$5K |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
56 |
39 |
$5K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
56 |
51 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
136 |
128 |
$4K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
113 |
110 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,289 |
1,214 |
$1K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,175 |
1,136 |
$365.90 |
| A4217 |
Sterile water/saline, 500 ml |
12 |
12 |
$257.92 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
14 |
13 |
$132.00 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
28 |
28 |
$111.90 |
| A7015 |
Aerosol mask, used with dme nebulizer |
51 |
49 |
$34.34 |