| 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 |
8,895 |
8,276 |
$299K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,545 |
2,391 |
$73K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,317 |
2,133 |
$49K |
| A7030 |
Full face mask used with positive airway pressure device, each |
372 |
360 |
$18K |
| 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 |
517 |
477 |
$17K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
27 |
26 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
1,117 |
1,066 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
538 |
522 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
258 |
251 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,255 |
1,205 |
$6K |
| E0570 |
Nebulizer, with compressor |
730 |
689 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
271 |
262 |
$3K |
| K0001 |
Standard wheelchair |
307 |
233 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
125 |
121 |
$2K |
| 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) |
62 |
61 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
141 |
135 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
16 |
16 |
$495.57 |