| 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 |
13,770 |
13,694 |
$886K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,383 |
1,383 |
$223K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,763 |
8,699 |
$100K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,326 |
1,326 |
$81K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,325 |
1,323 |
$38K |
| E0570 |
Nebulizer, with compressor |
3,538 |
3,521 |
$25K |
| 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) |
84 |
81 |
$20K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
834 |
833 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
690 |
688 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
218 |
218 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,700 |
1,681 |
$8K |
| A7031 |
Face mask interface, replacement for full face mask, each |
291 |
282 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
322 |
322 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
355 |
355 |
$5K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
863 |
825 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
107 |
107 |
$989.91 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
24 |
24 |
$622.82 |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$201.84 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
46 |
40 |
$92.55 |