| 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 |
5,269 |
5,242 |
$137K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
920 |
916 |
$68K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,007 |
2,996 |
$59K |
| A7030 |
Full face mask used with positive airway pressure device, each |
466 |
462 |
$17K |
| 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) |
342 |
340 |
$13K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,320 |
1,315 |
$9K |
| 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 |
1,468 |
1,458 |
$8K |
| A7031 |
Face mask interface, replacement for full face mask, each |
289 |
288 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
305 |
303 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
796 |
791 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
375 |
375 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
1,064 |
1,059 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,226 |
1,219 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
63 |
62 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
147 |
146 |
$612.87 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
19 |
19 |
$508.81 |