| Code | Description | Total Paid |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
$1.27M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
$163K |
| E1392 |
Portable oxygen concentrator, rental |
$70K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
$22K |
| G0238 |
Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) |
$12K |
| A7030 |
Full face mask used with positive airway pressure device, each |
$2K |
| 94668 |
|
$1K |
| A7037 |
Tubing used with positive airway pressure device |
$727.40 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
$411.62 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
$42.90 |