| 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 |
15,399 |
14,808 |
$551K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,266 |
2,146 |
$158K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
457 |
420 |
$139K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,668 |
2,524 |
$88K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,657 |
1,615 |
$73K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,484 |
1,438 |
$68K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,499 |
2,365 |
$67K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,724 |
1,664 |
$61K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,502 |
6,225 |
$60K |
| E0570 |
Nebulizer, with compressor |
2,391 |
2,297 |
$42K |
| A7037 |
Tubing used with positive airway pressure device |
2,064 |
2,020 |
$39K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,420 |
6,176 |
$31K |
| A7035 |
Headgear used with positive airway pressure device |
2,191 |
2,091 |
$28K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,748 |
1,678 |
$22K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
559 |
544 |
$17K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,698 |
1,622 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
720 |
695 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,790 |
2,453 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
87 |
84 |
$743.61 |
| A7015 |
Aerosol mask, used with dme nebulizer |
669 |
558 |
$496.08 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
29 |
27 |
$148.85 |