| 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 |
8,965 |
6,042 |
$186K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
523 |
443 |
$101K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,230 |
1,971 |
$53K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
537 |
391 |
$16K |
| 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 |
3,708 |
2,698 |
$16K |
| A7030 |
Full face mask used with positive airway pressure device, each |
230 |
203 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
1,504 |
1,113 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
952 |
701 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,162 |
1,428 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
97 |
59 |
$5K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
761 |
448 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
212 |
159 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
553 |
416 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
253 |
183 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
34 |
27 |
$701.10 |
| A7036 |
Chinstrap used with positive airway pressure device |
61 |
45 |
$307.18 |
| E0570 |
Nebulizer, with compressor |
14 |
12 |
$120.15 |