| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,602 |
1,526 |
$297K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
17,027 |
10,584 |
$215K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,511 |
2,881 |
$50K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,413 |
859 |
$34K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,233 |
1,785 |
$32K |
| E1392 |
Portable oxygen concentrator, rental |
6,541 |
4,493 |
$28K |
| 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 |
1,624 |
1,049 |
$11K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,082 |
612 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
2,163 |
1,386 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
1,672 |
1,021 |
$9K |
| E0570 |
Nebulizer, with compressor |
1,351 |
1,213 |
$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) |
306 |
180 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
550 |
278 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,981 |
1,756 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
567 |
317 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
111 |
53 |
$803.05 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
21 |
13 |
$582.13 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
41 |
25 |
$237.68 |