| 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 |
17,623 |
12,490 |
$744K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
759 |
497 |
$206K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,237 |
3,794 |
$156K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,289 |
8,044 |
$84K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,099 |
1,495 |
$64K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
2,059 |
1,275 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
3,031 |
2,131 |
$17K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,479 |
1,066 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
1,810 |
1,287 |
$12K |
| K0003 |
Lightweight wheelchair |
1,560 |
956 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
104 |
77 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,449 |
2,419 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
359 |
249 |
$6K |
| E0570 |
Nebulizer, with compressor |
1,144 |
772 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,216 |
829 |
$3K |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
940 |
697 |
$998.57 |
| 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) |
16 |
12 |
$991.00 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
301 |
219 |
$656.31 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
398 |
304 |
$556.16 |