| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,014 |
822 |
$408K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,856 |
6,104 |
$274K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,459 |
3,945 |
$200K |
| 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) |
1,390 |
1,214 |
$159K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,185 |
2,626 |
$134K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,827 |
1,530 |
$89K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,906 |
2,412 |
$56K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,706 |
1,434 |
$48K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,884 |
1,518 |
$41K |
| A7035 |
Headgear used with positive airway pressure device |
2,471 |
2,091 |
$32K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,078 |
870 |
$27K |
| E1392 |
Portable oxygen concentrator, rental |
2,528 |
2,214 |
$25K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
788 |
638 |
$17K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
794 |
710 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,715 |
3,758 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
971 |
798 |
$4K |
| K0003 |
Lightweight wheelchair |
52 |
49 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
46 |
44 |
$748.50 |
| A7036 |
Chinstrap used with positive airway pressure device |
43 |
42 |
$312.49 |