| 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 |
6,210 |
6,018 |
$326K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
360 |
347 |
$182K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,839 |
1,811 |
$85K |
| 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) |
603 |
595 |
$61K |
| A7030 |
Full face mask used with positive airway pressure device, each |
418 |
409 |
$34K |
| E1392 |
Portable oxygen concentrator, rental |
1,167 |
1,145 |
$30K |
| 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 |
1,398 |
1,358 |
$22K |
| A7031 |
Face mask interface, replacement for full face mask, each |
386 |
375 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
82 |
82 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
208 |
206 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
848 |
834 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
604 |
596 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
554 |
547 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,104 |
1,074 |
$9K |
| E0570 |
Nebulizer, with compressor |
263 |
246 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
58 |
58 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
116 |
115 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
190 |
188 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
55 |
55 |
$422.25 |