| 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 |
12,840 |
12,027 |
$996K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
293 |
290 |
$102K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,847 |
6,463 |
$97K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,204 |
1,180 |
$44K |
| E1392 |
Portable oxygen concentrator, rental |
2,196 |
2,104 |
$30K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,277 |
1,238 |
$19K |
| A7030 |
Full face mask used with positive airway pressure device, each |
405 |
401 |
$18K |
| E0570 |
Nebulizer, with compressor |
1,921 |
1,911 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,576 |
2,479 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
345 |
336 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
477 |
469 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
666 |
645 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
266 |
265 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
399 |
389 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
467 |
446 |
$3K |
| 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 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
65 |
64 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
73 |
67 |
$831.20 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$409.16 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
244 |
216 |
$214.72 |