| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,646 |
1,562 |
$851K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
9,870 |
7,475 |
$314K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,038 |
2,571 |
$92K |
| 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 |
2,973 |
2,296 |
$55K |
| 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) |
328 |
241 |
$22K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,935 |
2,125 |
$20K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
523 |
427 |
$17K |
| E1392 |
Portable oxygen concentrator, rental |
1,130 |
914 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
620 |
454 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,032 |
1,353 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
133 |
108 |
$4K |
| A7000 |
Canister, disposable, used with suction pump, each |
230 |
124 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
494 |
333 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
171 |
120 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
66 |
54 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
50 |
38 |
$930.63 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
160 |
102 |
$856.74 |