| 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 |
9,408 |
8,507 |
$386K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,385 |
4,188 |
$163K |
| 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) |
1,835 |
1,673 |
$147K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,139 |
5,516 |
$92K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
950 |
872 |
$65K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,018 |
953 |
$40K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,541 |
1,431 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
2,072 |
1,931 |
$26K |
| A7037 |
Tubing used with positive airway pressure device |
2,132 |
2,013 |
$20K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
563 |
506 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,970 |
3,582 |
$9K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,702 |
1,596 |
$9K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
15 |
12 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
135 |
124 |
$2K |
| E0570 |
Nebulizer, with compressor |
40 |
39 |
$854.75 |
| E1392 |
Portable oxygen concentrator, rental |
37 |
37 |
$412.03 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
114 |
106 |
$306.21 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
28 |
24 |
$298.81 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
12 |
$144.91 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
70 |
66 |
$0.00 |