| 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 |
9,077 |
7,716 |
$454K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
80 |
60 |
$51K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,437 |
2,090 |
$43K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,993 |
1,720 |
$28K |
| E0601 |
Continuous positive airway pressure (cpap) device |
808 |
700 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,665 |
1,356 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
276 |
228 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
264 |
218 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
53 |
40 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
62 |
52 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
100 |
86 |
$2K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
81 |
64 |
$522.02 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
68 |
54 |
$389.75 |
| A7031 |
Face mask interface, replacement for full face mask, each |
23 |
13 |
$290.99 |