| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,534 |
2,359 |
$895K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
10,100 |
9,201 |
$374K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,165 |
1,913 |
$46K |
| 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 |
3,012 |
2,810 |
$30K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,340 |
2,142 |
$29K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
749 |
662 |
$23K |
| A7030 |
Full face mask used with positive airway pressure device, each |
264 |
240 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
1,167 |
1,037 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
1,324 |
1,161 |
$11K |
| E1392 |
Portable oxygen concentrator, rental |
859 |
824 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,884 |
1,650 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
129 |
112 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
465 |
417 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
85 |
79 |
$2K |
| E0570 |
Nebulizer, with compressor |
284 |
274 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
33 |
27 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
25 |
24 |
$672.95 |