| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,670 |
1,489 |
$497K |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
3,607 |
2,927 |
$413K |
| A7030 |
Full face mask used with positive airway pressure device, each |
5,769 |
3,862 |
$241K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
5,604 |
3,618 |
$173K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,722 |
4,866 |
$164K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,528 |
4,642 |
$137K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
6,884 |
4,650 |
$121K |
| 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) |
1,820 |
1,220 |
$94K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,351 |
4,283 |
$62K |
| E1392 |
Portable oxygen concentrator, rental |
3,713 |
2,400 |
$42K |
| A7035 |
Headgear used with positive airway pressure device |
4,051 |
2,723 |
$35K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
1,605 |
1,039 |
$34K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,059 |
709 |
$26K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,868 |
8,186 |
$21K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
628 |
491 |
$18K |
| A6196 |
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
16 |
13 |
$4K |
| E0570 |
Nebulizer, with compressor |
296 |
201 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
594 |
376 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
18 |
12 |
$34.24 |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
2,036 |
1,540 |
$0.00 |