| 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 |
8,904 |
6,379 |
$165K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
502 |
334 |
$48K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,674 |
1,393 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
2,512 |
2,064 |
$14K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,405 |
994 |
$12K |
| 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 |
1,058 |
800 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
202 |
120 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
603 |
431 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,211 |
784 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
206 |
138 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
409 |
280 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
79 |
52 |
$516.98 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
19 |
13 |
$108.41 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
31 |
27 |
$41.14 |