| 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 |
11,571 |
8,921 |
$704K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,160 |
4,350 |
$134K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,816 |
1,336 |
$103K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
176 |
146 |
$77K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,646 |
2,933 |
$69K |
| 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 |
3,546 |
2,838 |
$53K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,323 |
922 |
$31K |
| E1392 |
Portable oxygen concentrator, rental |
913 |
724 |
$28K |
| A7035 |
Headgear used with positive airway pressure device |
1,911 |
1,420 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,483 |
2,617 |
$19K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
598 |
485 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
1,680 |
1,225 |
$14K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
303 |
242 |
$12K |
| E0570 |
Nebulizer, with compressor |
833 |
655 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
316 |
250 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
809 |
626 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
63 |
52 |
$2K |