| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,881 |
2,334 |
$542K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
12,575 |
8,587 |
$279K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,720 |
2,831 |
$78K |
| 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 |
4,066 |
2,648 |
$32K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,286 |
1,038 |
$19K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
829 |
513 |
$18K |
| E1392 |
Portable oxygen concentrator, rental |
1,835 |
1,307 |
$15K |
| A7030 |
Full face mask used with positive airway pressure device, each |
329 |
217 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
1,790 |
1,156 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
1,391 |
876 |
$9K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,291 |
894 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,468 |
1,615 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
240 |
160 |
$3K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
29 |
24 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
350 |
229 |
$2K |
| E0570 |
Nebulizer, with compressor |
274 |
180 |
$989.65 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
39 |
25 |
$448.92 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
21 |
12 |
$193.52 |