| 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 |
13,376 |
11,196 |
$365K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
413 |
391 |
$118K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,111 |
5,797 |
$82K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,576 |
1,505 |
$63K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,777 |
1,631 |
$42K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,821 |
1,722 |
$35K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,862 |
1,683 |
$34K |
| A7035 |
Headgear used with positive airway pressure device |
2,216 |
2,070 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
2,682 |
2,408 |
$19K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,311 |
1,958 |
$18K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
918 |
785 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,711 |
4,354 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,390 |
2,239 |
$12K |
| E0570 |
Nebulizer, with compressor |
2,700 |
2,402 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
841 |
784 |
$6K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
507 |
471 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
410 |
388 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,330 |
1,152 |
$761.51 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
218 |
205 |
$538.21 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
38 |
37 |
$126.11 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
27 |
25 |
$3.05 |