| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,419 |
1,079 |
$328K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
9,784 |
6,548 |
$139K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,833 |
3,084 |
$71K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,280 |
932 |
$42K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,882 |
1,374 |
$35K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,833 |
1,198 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
485 |
379 |
$15K |
| A7035 |
Headgear used with positive airway pressure device |
2,336 |
1,709 |
$15K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,034 |
717 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
2,689 |
2,018 |
$13K |
| 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 |
2,047 |
1,689 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
1,437 |
1,105 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,478 |
2,529 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
469 |
300 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,196 |
901 |
$5K |
| 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) |
166 |
120 |
$4K |
| E0570 |
Nebulizer, with compressor |
606 |
516 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
45 |
27 |
$190.57 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
16 |
12 |
$152.22 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
18 |
13 |
$76.42 |