| 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 |
9,340 |
7,555 |
$293K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
605 |
493 |
$171K |
| E1392 |
Portable oxygen concentrator, rental |
5,524 |
4,514 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,940 |
2,392 |
$24K |
| A7030 |
Full face mask used with positive airway pressure device, each |
727 |
577 |
$21K |
| E0601 |
Continuous positive airway pressure (cpap) device |
932 |
860 |
$21K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,308 |
1,083 |
$19K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
899 |
747 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
368 |
318 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,263 |
1,140 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
807 |
647 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,329 |
1,961 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
384 |
295 |
$3K |
| E0570 |
Nebulizer, with compressor |
919 |
683 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
588 |
459 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
307 |
237 |
$767.49 |