| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,429 |
1,269 |
$706K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,591 |
3,370 |
$204K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,850 |
2,666 |
$65K |
| A7030 |
Full face mask used with positive airway pressure device, each |
532 |
524 |
$41K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
516 |
491 |
$27K |
| A7035 |
Headgear used with positive airway pressure device |
969 |
937 |
$19K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
886 |
856 |
$19K |
| A7031 |
Face mask interface, replacement for full face mask, each |
342 |
334 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
759 |
710 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,556 |
1,474 |
$8K |
| 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) |
52 |
52 |
$8K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
66 |
65 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
127 |
122 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
42 |
38 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
48 |
48 |
$981.91 |