| 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 |
81,700 |
76,005 |
$4.64M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,993 |
1,704 |
$1.03M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
63,060 |
59,012 |
$782K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
4,400 |
4,256 |
$356K |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,041 |
6,905 |
$342K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,753 |
2,949 |
$277K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,038 |
1,847 |
$138K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,165 |
1,923 |
$95K |
| A7035 |
Headgear used with positive airway pressure device |
3,105 |
2,784 |
$52K |
| A7037 |
Tubing used with positive airway pressure device |
3,221 |
2,892 |
$49K |
| 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) |
381 |
291 |
$33K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,436 |
1,266 |
$32K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,062 |
981 |
$26K |
| E0570 |
Nebulizer, with compressor |
2,437 |
2,113 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,097 |
4,545 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
911 |
832 |
$20K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,138 |
902 |
$16K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
532 |
472 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,407 |
1,233 |
$10K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
239 |
203 |
$4K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
27 |
25 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
496 |
326 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
653 |
570 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
168 |
148 |
$2K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
74 |
66 |
$2K |
| A7036 |
Chinstrap used with positive airway pressure device |
46 |
43 |
$248.20 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
46 |
38 |
$0.00 |