| 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 |
5,919 |
5,494 |
$444K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,313 |
1,245 |
$120K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,845 |
2,621 |
$102K |
| 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) |
847 |
767 |
$76K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,228 |
1,075 |
$69K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
296 |
291 |
$48K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,786 |
2,631 |
$44K |
| 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 |
1,058 |
964 |
$27K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
397 |
391 |
$26K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,597 |
2,258 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
1,283 |
1,217 |
$23K |
| A7037 |
Tubing used with positive airway pressure device |
1,451 |
1,369 |
$22K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
32 |
26 |
$16K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
281 |
275 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
152 |
109 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
227 |
223 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
466 |
442 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
27 |
25 |
$1K |
| E0570 |
Nebulizer, with compressor |
27 |
24 |
$759.29 |
| A7036 |
Chinstrap used with positive airway pressure device |
25 |
25 |
$225.50 |