| 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 |
10,513 |
6,808 |
$211K |
| E0601 |
Continuous positive airway pressure (cpap) device |
9,048 |
5,616 |
$162K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,223 |
1,703 |
$101K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,742 |
1,741 |
$73K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,545 |
1,187 |
$55K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,804 |
1,377 |
$36K |
| A7035 |
Headgear used with positive airway pressure device |
2,881 |
2,244 |
$30K |
| A7037 |
Tubing used with positive airway pressure device |
3,191 |
2,503 |
$29K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,785 |
1,564 |
$28K |
| 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) |
653 |
464 |
$19K |
| E1392 |
Portable oxygen concentrator, rental |
2,349 |
1,533 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,058 |
3,099 |
$14K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
71 |
62 |
$12K |
| 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 |
2,117 |
1,654 |
$10K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
434 |
316 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,317 |
1,024 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
147 |
105 |
$840.01 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
51 |
30 |
$188.17 |
| E0570 |
Nebulizer, with compressor |
16 |
12 |
$162.54 |