| 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 |
14,003 |
12,619 |
$556K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
734 |
696 |
$398K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,182 |
6,551 |
$96K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,006 |
1,850 |
$78K |
| E0570 |
Nebulizer, with compressor |
823 |
709 |
$12K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
541 |
470 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,042 |
3,737 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
687 |
625 |
$8K |
| A7030 |
Full face mask used with positive airway pressure device, each |
170 |
155 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
545 |
493 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
308 |
282 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
392 |
360 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
129 |
113 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
75 |
68 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
49 |
39 |
$802.46 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
386 |
343 |
$565.25 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
15 |
12 |
$155.28 |
| K0001 |
Standard wheelchair |
20 |
12 |
$127.89 |