| 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 |
16,229 |
14,995 |
$601K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,182 |
4,905 |
$197K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,031 |
7,450 |
$89K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,892 |
1,716 |
$82K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,302 |
2,093 |
$71K |
| 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) |
482 |
444 |
$47K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,009 |
1,852 |
$46K |
| E0570 |
Nebulizer, with compressor |
3,662 |
3,291 |
$44K |
| A7035 |
Headgear used with positive airway pressure device |
2,488 |
2,308 |
$36K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
95 |
90 |
$34K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,312 |
1,253 |
$31K |
| A7037 |
Tubing used with positive airway pressure device |
2,697 |
2,534 |
$28K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,332 |
8,845 |
$22K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,032 |
977 |
$21K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
436 |
398 |
$10K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
687 |
643 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
222 |
218 |
$5K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
807 |
728 |
$599.48 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
248 |
231 |
$522.25 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
14 |
14 |
$238.24 |