| 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 |
5,809 |
5,694 |
$161K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,101 |
2,092 |
$46K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
49 |
49 |
$16K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
965 |
957 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
1,037 |
1,004 |
$6K |
| 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 |
1,054 |
1,012 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
165 |
155 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
80 |
77 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
367 |
345 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
709 |
670 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
81 |
80 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
105 |
105 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
171 |
164 |
$872.14 |
| E0570 |
Nebulizer, with compressor |
226 |
226 |
$600.80 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
67 |
65 |
$548.01 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
14 |
$459.14 |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$220.68 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
12 |
$44.57 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
12 |
12 |
$32.63 |
| A7036 |
Chinstrap used with positive airway pressure device |
12 |
12 |
$22.86 |