| 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 |
12,484 |
10,651 |
$218K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,819 |
2,502 |
$66K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,522 |
1,168 |
$57K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
340 |
267 |
$27K |
| E1392 |
Portable oxygen concentrator, rental |
4,558 |
3,900 |
$27K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,447 |
1,131 |
$24K |
| 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 |
1,774 |
1,503 |
$22K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
850 |
670 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
469 |
398 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
1,602 |
1,207 |
$13K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,057 |
1,804 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
313 |
249 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,486 |
2,562 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
1,172 |
855 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
674 |
545 |
$3K |
| E0570 |
Nebulizer, with compressor |
307 |
272 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
27 |
24 |
$699.09 |