| 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 |
18,883 |
16,811 |
$763K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,616 |
5,868 |
$205K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
439 |
362 |
$199K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,699 |
6,830 |
$64K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,484 |
1,288 |
$64K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,307 |
2,867 |
$60K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,875 |
1,652 |
$60K |
| A7037 |
Tubing used with positive airway pressure device |
4,352 |
3,933 |
$36K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,574 |
1,389 |
$33K |
| A7035 |
Headgear used with positive airway pressure device |
2,536 |
2,229 |
$28K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,410 |
1,245 |
$25K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,560 |
2,335 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,479 |
4,904 |
$15K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,246 |
1,997 |
$8K |
| 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) |
63 |
60 |
$3K |
| E0570 |
Nebulizer, with compressor |
296 |
260 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
64 |
60 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
60 |
52 |
$926.39 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
718 |
525 |
$350.00 |