| 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 |
7,730 |
7,142 |
$678K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,892 |
4,648 |
$249K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,596 |
1,513 |
$118K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,234 |
4,910 |
$104K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,400 |
4,039 |
$71K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,249 |
2,136 |
$61K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,146 |
1,092 |
$39K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
781 |
746 |
$37K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
698 |
668 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
1,836 |
1,747 |
$34K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,351 |
5,043 |
$31K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
77 |
75 |
$30K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,758 |
1,658 |
$18K |
| 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) |
113 |
105 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
643 |
625 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
57 |
53 |
$2K |
| E0570 |
Nebulizer, with compressor |
130 |
127 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
28 |
28 |
$14.20 |