| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,645 |
1,327 |
$602K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
9,734 |
8,261 |
$373K |
| A7030 |
Full face mask used with positive airway pressure device, each |
6,537 |
5,521 |
$314K |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,512 |
7,402 |
$241K |
| A7031 |
Face mask interface, replacement for full face mask, each |
7,656 |
6,628 |
$198K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
7,746 |
6,562 |
$157K |
| E1392 |
Portable oxygen concentrator, rental |
6,311 |
5,342 |
$93K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,752 |
4,373 |
$86K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,148 |
1,809 |
$70K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,099 |
1,826 |
$58K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
732 |
632 |
$55K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
1,835 |
1,097 |
$52K |
| A7035 |
Headgear used with positive airway pressure device |
4,803 |
4,087 |
$51K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
13,119 |
11,553 |
$48K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,502 |
1,349 |
$38K |
| 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) |
735 |
654 |
$32K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,794 |
1,451 |
$14K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,025 |
1,753 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
531 |
401 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,152 |
901 |
$6K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
963 |
597 |
$0.00 |