| 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 |
6,875 |
6,370 |
$383K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,096 |
3,755 |
$194K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,739 |
1,605 |
$164K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,839 |
1,683 |
$103K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,578 |
1,460 |
$98K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,070 |
986 |
$81K |
| A7037 |
Tubing used with positive airway pressure device |
2,889 |
2,670 |
$55K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,245 |
4,846 |
$53K |
| A7035 |
Headgear used with positive airway pressure device |
2,025 |
1,868 |
$41K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,465 |
1,330 |
$35K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,286 |
3,885 |
$29K |
| 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) |
206 |
186 |
$21K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,586 |
1,481 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
888 |
831 |
$9K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
259 |
226 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
79 |
75 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
137 |
129 |
$4K |
| E0570 |
Nebulizer, with compressor |
511 |
480 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
66 |
62 |
$2K |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
44 |
38 |
$135.22 |