| 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 |
6,932 |
5,928 |
$401K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
746 |
670 |
$288K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,282 |
4,953 |
$221K |
| 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) |
1,341 |
1,240 |
$150K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,822 |
1,516 |
$134K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,531 |
2,209 |
$123K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
460 |
362 |
$70K |
| A7035 |
Headgear used with positive airway pressure device |
3,278 |
2,885 |
$56K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,882 |
1,619 |
$52K |
| 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 |
2,082 |
1,853 |
$44K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,144 |
1,018 |
$40K |
| A7037 |
Tubing used with positive airway pressure device |
2,421 |
2,066 |
$37K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,226 |
1,025 |
$35K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,372 |
4,615 |
$30K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,104 |
1,011 |
$28K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,552 |
2,230 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
1,432 |
1,178 |
$19K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
988 |
934 |
$14K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
210 |
192 |
$1K |