| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
7,256 |
4,320 |
$1.30M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
28,096 |
18,430 |
$643K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,729 |
5,054 |
$141K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,548 |
1,979 |
$88K |
| 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 |
8,959 |
5,854 |
$80K |
| E1392 |
Portable oxygen concentrator, rental |
7,296 |
4,873 |
$48K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,173 |
1,277 |
$39K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,267 |
1,796 |
$39K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,041 |
1,574 |
$32K |
| 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) |
875 |
545 |
$27K |
| A7035 |
Headgear used with positive airway pressure device |
3,820 |
2,242 |
$21K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,837 |
1,995 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
4,164 |
2,387 |
$17K |
| E0570 |
Nebulizer, with compressor |
2,407 |
1,534 |
$15K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,596 |
1,529 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,154 |
3,592 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
879 |
571 |
$12K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
567 |
347 |
$8K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
38 |
25 |
$2K |
| A7526 |
Tracheostomy tube collar/holder, each |
46 |
28 |
$2K |
| A7000 |
Canister, disposable, used with suction pump, each |
134 |
94 |
$1K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
30 |
12 |
$1K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
106 |
67 |
$599.34 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
16 |
12 |
$524.66 |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
20 |
13 |
$336.91 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
36 |
24 |
$12.78 |