| 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 |
5,878 |
5,349 |
$397K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
851 |
784 |
$377K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,193 |
2,108 |
$93K |
| 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 |
1,992 |
1,770 |
$53K |
| A7030 |
Full face mask used with positive airway pressure device, each |
327 |
279 |
$21K |
| A7035 |
Headgear used with positive airway pressure device |
1,070 |
938 |
$17K |
| E1392 |
Portable oxygen concentrator, rental |
1,189 |
1,051 |
$16K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
317 |
276 |
$16K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
817 |
776 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
71 |
54 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,072 |
1,792 |
$11K |
| 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) |
81 |
80 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
414 |
377 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
488 |
437 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
119 |
112 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
102 |
90 |
$3K |
| E0570 |
Nebulizer, with compressor |
170 |
161 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
27 |
25 |
$869.80 |