| 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 |
9,190 |
8,671 |
$751K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,440 |
3,310 |
$168K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,372 |
1,329 |
$99K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,166 |
3,945 |
$82K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,215 |
4,922 |
$75K |
| 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) |
434 |
432 |
$53K |
| A7031 |
Face mask interface, replacement for full face mask, each |
988 |
973 |
$33K |
| A7035 |
Headgear used with positive airway pressure device |
1,344 |
1,302 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,270 |
4,114 |
$21K |
| A7037 |
Tubing used with positive airway pressure device |
1,126 |
1,095 |
$18K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
49 |
49 |
$15K |
| E0570 |
Nebulizer, with compressor |
1,238 |
1,214 |
$15K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
451 |
442 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,159 |
1,128 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
163 |
162 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
179 |
178 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
197 |
190 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
752 |
694 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
35 |
31 |
$154.78 |