| 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 |
4,010 |
2,903 |
$98K |
| 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) |
1,695 |
1,382 |
$92K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,371 |
2,098 |
$63K |
| A7030 |
Full face mask used with positive airway pressure device, each |
952 |
761 |
$47K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
376 |
319 |
$33K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,045 |
796 |
$32K |
| A7037 |
Tubing used with positive airway pressure device |
1,870 |
1,530 |
$15K |
| A7035 |
Headgear used with positive airway pressure device |
1,483 |
1,183 |
$15K |
| A7031 |
Face mask interface, replacement for full face mask, each |
905 |
559 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,586 |
1,674 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
447 |
249 |
$6K |
| 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 |
1,742 |
1,222 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
615 |
473 |
$4K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
175 |
167 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
50 |
40 |
$287.78 |
| K0001 |
Standard wheelchair |
12 |
12 |
$128.58 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
35 |
12 |
$80.41 |