| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,015 |
810 |
$265K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
11,352 |
7,575 |
$218K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,067 |
2,605 |
$66K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,314 |
1,018 |
$14K |
| 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 |
4,202 |
2,769 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
2,382 |
1,601 |
$11K |
| A7030 |
Full face mask used with positive airway pressure device, each |
348 |
231 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
1,392 |
1,053 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
984 |
706 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
294 |
204 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,061 |
1,383 |
$5K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
15 |
12 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
212 |
141 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
32 |
17 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
143 |
91 |
$488.51 |
| A7000 |
Canister, disposable, used with suction pump, each |
21 |
12 |
$177.42 |