| 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 |
18,561 |
14,060 |
$523K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,928 |
2,995 |
$101K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,512 |
2,176 |
$97K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,671 |
9,285 |
$80K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,945 |
1,744 |
$49K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,983 |
2,562 |
$47K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
141 |
94 |
$36K |
| E1392 |
Portable oxygen concentrator, rental |
2,744 |
2,273 |
$31K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,849 |
3,644 |
$30K |
| A7035 |
Headgear used with positive airway pressure device |
2,280 |
2,004 |
$22K |
| E0570 |
Nebulizer, with compressor |
2,597 |
2,108 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
2,026 |
1,770 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,624 |
1,455 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,595 |
5,646 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
260 |
236 |
$8K |
| 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) |
134 |
95 |
$5K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
150 |
140 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
67 |
63 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$188.95 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
149 |
129 |
$72.56 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
12 |
$52.62 |