| 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 |
11,986 |
11,659 |
$1.49M |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,466 |
4,361 |
$370K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,644 |
1,621 |
$213K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,487 |
5,355 |
$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) |
807 |
790 |
$120K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,373 |
2,338 |
$111K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,125 |
1,099 |
$102K |
| 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 |
2,936 |
2,831 |
$80K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,191 |
1,173 |
$54K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,044 |
1,994 |
$46K |
| A7035 |
Headgear used with positive airway pressure device |
1,788 |
1,753 |
$46K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
751 |
731 |
$38K |
| A7037 |
Tubing used with positive airway pressure device |
1,065 |
1,032 |
$30K |
| E1392 |
Portable oxygen concentrator, rental |
1,607 |
1,577 |
$26K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,997 |
3,924 |
$23K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
925 |
908 |
$12K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
210 |
209 |
$8K |