| 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 |
43,182 |
26,510 |
$1.16M |
| E1392 |
Portable oxygen concentrator, rental |
13,809 |
8,622 |
$122K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
890 |
446 |
$113K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,278 |
2,077 |
$98K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,322 |
2,661 |
$82K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,111 |
2,560 |
$65K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,642 |
7,142 |
$49K |
| E0570 |
Nebulizer, with compressor |
6,242 |
4,247 |
$35K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,645 |
2,861 |
$27K |
| A7037 |
Tubing used with positive airway pressure device |
4,074 |
2,622 |
$23K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,473 |
909 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
3,041 |
1,975 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,476 |
5,027 |
$17K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
670 |
392 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
792 |
557 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
264 |
205 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,761 |
1,126 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
50 |
26 |
$834.86 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,995 |
1,442 |
$573.33 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
100 |
61 |
$336.80 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
114 |
95 |
$39.65 |
| A7015 |
Aerosol mask, used with dme nebulizer |
42 |
27 |
$16.61 |