| 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 |
23,617 |
11,546 |
$601K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,459 |
1,160 |
$424K |
| E0601 |
Continuous positive airway pressure (cpap) device |
11,428 |
6,820 |
$241K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,799 |
1,909 |
$106K |
| 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) |
2,194 |
1,151 |
$88K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
921 |
691 |
$84K |
| 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 |
7,503 |
3,812 |
$64K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,672 |
1,189 |
$37K |
| A7037 |
Tubing used with positive airway pressure device |
3,953 |
2,688 |
$28K |
| A7035 |
Headgear used with positive airway pressure device |
3,531 |
2,466 |
$28K |
| E1392 |
Portable oxygen concentrator, rental |
4,029 |
2,162 |
$27K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,294 |
1,498 |
$27K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,842 |
2,036 |
$26K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,081 |
3,435 |
$10K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
450 |
376 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
444 |
358 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,161 |
889 |
$4K |
| E0570 |
Nebulizer, with compressor |
178 |
105 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
33 |
25 |
$379.35 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
21 |
14 |
$49.51 |