| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,302 |
1,985 |
$935K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
10,954 |
8,859 |
$385K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,899 |
2,594 |
$80K |
| 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 |
4,601 |
3,857 |
$69K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,270 |
1,867 |
$30K |
| A7030 |
Full face mask used with positive airway pressure device, each |
330 |
273 |
$17K |
| 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) |
168 |
118 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
842 |
650 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
74 |
59 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
538 |
457 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,872 |
1,069 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
561 |
409 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
153 |
119 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
140 |
121 |
$2K |
| E0570 |
Nebulizer, with compressor |
132 |
117 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
32 |
29 |
$736.12 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
21 |
14 |
$364.56 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
44 |
28 |
$61.34 |