| 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 |
11,879 |
10,811 |
$324K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
941 |
872 |
$140K |
| 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 |
3,460 |
3,236 |
$88K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,979 |
3,696 |
$78K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,015 |
1,883 |
$61K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,203 |
1,147 |
$42K |
| A7030 |
Full face mask used with positive airway pressure device, each |
630 |
593 |
$27K |
| A7035 |
Headgear used with positive airway pressure device |
1,830 |
1,712 |
$21K |
| A7037 |
Tubing used with positive airway pressure device |
1,481 |
1,370 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
1,737 |
1,658 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,988 |
2,782 |
$12K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
116 |
109 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
863 |
805 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
411 |
403 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
355 |
340 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
105 |
99 |
$2K |
| E0570 |
Nebulizer, with compressor |
251 |
240 |
$744.64 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
29 |
26 |
$340.39 |