| 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 |
26,738 |
26,228 |
$774K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,560 |
2,554 |
$378K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,903 |
16,559 |
$154K |
| E1392 |
Portable oxygen concentrator, rental |
5,040 |
4,973 |
$57K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,146 |
1,122 |
$23K |
| E0570 |
Nebulizer, with compressor |
10,378 |
10,292 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,174 |
1,151 |
$12K |
| 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) |
111 |
110 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
240 |
236 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,516 |
1,486 |
$5K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
259 |
233 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
441 |
437 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
218 |
218 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
76 |
76 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,826 |
2,693 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
79 |
78 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
276 |
270 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
64 |
64 |
$1K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
14 |
13 |
$829.42 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
119 |
119 |
$709.44 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
27 |
27 |
$500.54 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
205 |
205 |
$460.33 |
| A7015 |
Aerosol mask, used with dme nebulizer |
506 |
493 |
$162.46 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
147 |
147 |
$20.49 |