| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
628 |
583 |
$212K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
5,332 |
4,861 |
$196K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,736 |
1,602 |
$20K |
| 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 |
1,924 |
1,781 |
$16K |
| A7030 |
Full face mask used with positive airway pressure device, each |
350 |
296 |
$11K |
| E0601 |
Continuous positive airway pressure (cpap) device |
704 |
628 |
$11K |
| 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) |
120 |
109 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
230 |
194 |
$4K |
| E0570 |
Nebulizer, with compressor |
678 |
647 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
585 |
491 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
229 |
196 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
902 |
766 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
155 |
137 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
438 |
377 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
260 |
227 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
41 |
40 |
$316.31 |