| 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 |
40,040 |
19,280 |
$1.05M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
5,047 |
2,162 |
$880K |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,886 |
5,299 |
$207K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,114 |
2,167 |
$131K |
| 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 |
14,018 |
6,632 |
$112K |
| 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) |
1,997 |
1,069 |
$87K |
| E1392 |
Portable oxygen concentrator, rental |
6,707 |
3,678 |
$64K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,566 |
3,508 |
$51K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
422 |
310 |
$40K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,810 |
1,771 |
$38K |
| A7035 |
Headgear used with positive airway pressure device |
3,198 |
2,251 |
$28K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,196 |
845 |
$28K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,264 |
1,578 |
$22K |
| A7037 |
Tubing used with positive airway pressure device |
1,684 |
1,237 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,249 |
3,518 |
$12K |
| E0570 |
Nebulizer, with compressor |
1,689 |
899 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,043 |
771 |
$5K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
50 |
38 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
268 |
206 |
$3K |
| A7000 |
Canister, disposable, used with suction pump, each |
102 |
37 |
$698.34 |
| K0001 |
Standard wheelchair |
28 |
12 |
$181.50 |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
15 |
12 |
$77.50 |
| A7036 |
Chinstrap used with positive airway pressure device |
18 |
15 |
$53.59 |