| 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 |
9,111 |
7,311 |
$222K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
683 |
568 |
$195K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,145 |
1,909 |
$26K |
| 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 |
2,298 |
1,980 |
$22K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,054 |
910 |
$21K |
| E1392 |
Portable oxygen concentrator, rental |
2,161 |
1,799 |
$21K |
| A7030 |
Full face mask used with positive airway pressure device, each |
158 |
118 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
443 |
332 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,456 |
836 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
366 |
241 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
108 |
64 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
58 |
38 |
$651.98 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
21 |
13 |
$258.35 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
23 |
15 |
$54.40 |