| 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 |
10,983 |
10,896 |
$411K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,287 |
2,265 |
$107K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
292 |
289 |
$85K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,416 |
3,393 |
$61K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
216 |
213 |
$49K |
| 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) |
262 |
262 |
$45K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,508 |
4,471 |
$42K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,023 |
1,018 |
$27K |
| A7030 |
Full face mask used with positive airway pressure device, each |
438 |
437 |
$27K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
500 |
500 |
$22K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
647 |
647 |
$20K |
| A7035 |
Headgear used with positive airway pressure device |
1,184 |
1,182 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,913 |
3,895 |
$19K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
453 |
452 |
$15K |
| A7031 |
Face mask interface, replacement for full face mask, each |
515 |
513 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
922 |
919 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
590 |
588 |
$8K |
| E0570 |
Nebulizer, with compressor |
998 |
990 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
200 |
200 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
162 |
158 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
218 |
217 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
156 |
152 |
$274.40 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
126 |
123 |
$8.38 |