| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,592 |
2,455 |
$696K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
10,731 |
10,359 |
$476K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,431 |
6,307 |
$249K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,845 |
1,816 |
$117K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,848 |
2,801 |
$97K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
8,195 |
8,051 |
$90K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,774 |
1,756 |
$73K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,667 |
7,370 |
$62K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,474 |
1,448 |
$53K |
| A7037 |
Tubing used with positive airway pressure device |
2,932 |
2,885 |
$36K |
| A7035 |
Headgear used with positive airway pressure device |
2,503 |
2,466 |
$31K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,638 |
6,534 |
$28K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
975 |
966 |
$24K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
877 |
871 |
$22K |
| E0570 |
Nebulizer, with compressor |
2,350 |
2,287 |
$19K |
| 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) |
222 |
220 |
$15K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,356 |
1,338 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
317 |
308 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
207 |
205 |
$940.10 |
| A7036 |
Chinstrap used with positive airway pressure device |
78 |
78 |
$553.20 |