| 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 |
10,777 |
9,891 |
$791K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,119 |
5,606 |
$98K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,521 |
1,500 |
$81K |
| 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 |
1,556 |
1,429 |
$43K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
286 |
253 |
$26K |
| A7030 |
Full face mask used with positive airway pressure device, each |
120 |
112 |
$10K |
| 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) |
73 |
67 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
507 |
479 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
149 |
138 |
$3K |
| K0001 |
Standard wheelchair |
80 |
76 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
106 |
103 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
66 |
63 |
$943.62 |
| A7031 |
Face mask interface, replacement for full face mask, each |
13 |
12 |
$798.59 |
| E0570 |
Nebulizer, with compressor |
14 |
12 |
$121.33 |