| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,798 |
1,777 |
$505K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
19,315 |
13,658 |
$433K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,686 |
5,161 |
$125K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,056 |
1,888 |
$66K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,364 |
2,093 |
$54K |
| 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 |
6,052 |
4,249 |
$51K |
| E1392 |
Portable oxygen concentrator, rental |
3,794 |
2,932 |
$38K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,932 |
1,558 |
$32K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,802 |
1,702 |
$32K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,785 |
1,068 |
$29K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,834 |
1,819 |
$28K |
| A7035 |
Headgear used with positive airway pressure device |
3,997 |
2,517 |
$20K |
| 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) |
685 |
410 |
$17K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,500 |
1,884 |
$15K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,969 |
1,848 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,339 |
4,046 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
3,297 |
2,050 |
$13K |
| E0570 |
Nebulizer, with compressor |
1,704 |
1,216 |
$8K |
| A7526 |
Tracheostomy tube collar/holder, each |
191 |
124 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
369 |
273 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
322 |
213 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
17 |
13 |
$132.46 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
22 |
15 |
$14.37 |