| 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 |
31,203 |
24,958 |
$1.16M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,915 |
1,539 |
$487K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,116 |
3,156 |
$218K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,026 |
4,850 |
$188K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,843 |
3,759 |
$149K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
17,766 |
14,037 |
$138K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,928 |
3,879 |
$64K |
| A7037 |
Tubing used with positive airway pressure device |
4,906 |
3,733 |
$47K |
| E0570 |
Nebulizer, with compressor |
4,827 |
3,703 |
$42K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
941 |
746 |
$37K |
| A7035 |
Headgear used with positive airway pressure device |
3,259 |
2,494 |
$36K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,973 |
7,147 |
$34K |
| E1392 |
Portable oxygen concentrator, rental |
2,697 |
2,142 |
$34K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
429 |
392 |
$18K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
495 |
420 |
$17K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,349 |
1,786 |
$15K |
| 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) |
192 |
138 |
$12K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
320 |
268 |
$10K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
900 |
723 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,600 |
2,211 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
296 |
222 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
30 |
27 |
$86.07 |
| A7015 |
Aerosol mask, used with dme nebulizer |
51 |
40 |
$18.46 |