| 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 |
31,363 |
31,332 |
$2.86M |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,533 |
4,519 |
$416K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,516 |
1,512 |
$165K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,993 |
5,990 |
$136K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
4,307 |
4,305 |
$121K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,163 |
2,163 |
$116K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,468 |
3,467 |
$113K |
| E1392 |
Portable oxygen concentrator, rental |
4,972 |
4,966 |
$108K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,502 |
1,502 |
$84K |
| 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) |
287 |
287 |
$77K |
| A7035 |
Headgear used with positive airway pressure device |
3,578 |
3,577 |
$72K |
| E0570 |
Nebulizer, with compressor |
6,623 |
6,595 |
$69K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,230 |
8,220 |
$53K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,257 |
1,256 |
$31K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
3,481 |
3,480 |
$26K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
24 |
24 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
672 |
672 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
675 |
675 |
$7K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
52 |
52 |
$723.52 |