| 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 |
14,849 |
10,073 |
$576K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,054 |
5,687 |
$72K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
168 |
101 |
$36K |
| A7031 |
Face mask interface, replacement for full face mask, each |
565 |
423 |
$19K |
| A7030 |
Full face mask used with positive airway pressure device, each |
237 |
190 |
$16K |
| E0601 |
Continuous positive airway pressure (cpap) device |
544 |
424 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,062 |
1,596 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
707 |
488 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
604 |
427 |
$5K |
| E0570 |
Nebulizer, with compressor |
581 |
430 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
177 |
134 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
43 |
37 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
489 |
450 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
29 |
27 |
$740.48 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
49 |
41 |
$228.38 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
156 |
149 |
$122.79 |