| 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 |
11,371 |
7,652 |
$180K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,960 |
5,465 |
$37K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
124 |
94 |
$24K |
| E0601 |
Continuous positive airway pressure (cpap) device |
678 |
539 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
1,907 |
1,220 |
$5K |
| E0570 |
Nebulizer, with compressor |
3,190 |
2,157 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
389 |
314 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
751 |
498 |
$350.71 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
752 |
534 |
$120.19 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
53 |
39 |
$102.03 |
| A7035 |
Headgear used with positive airway pressure device |
37 |
26 |
$99.27 |
| A7031 |
Face mask interface, replacement for full face mask, each |
17 |
12 |
$36.53 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
19 |
15 |
$34.76 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
35 |
25 |
$25.90 |
| A7015 |
Aerosol mask, used with dme nebulizer |
20 |
12 |
$4.24 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
16 |
12 |
$0.00 |