| 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 |
19,279 |
9,201 |
$292K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,959 |
2,907 |
$79K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
580 |
241 |
$69K |
| A7030 |
Full face mask used with positive airway pressure device, each |
661 |
505 |
$24K |
| 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 |
4,718 |
2,321 |
$24K |
| E1392 |
Portable oxygen concentrator, rental |
4,640 |
2,306 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
144 |
121 |
$15K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,063 |
1,104 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
1,364 |
1,003 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
1,024 |
771 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
212 |
157 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
457 |
230 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
364 |
282 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,973 |
1,386 |
$3K |
| K0001 |
Standard wheelchair |
332 |
190 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
187 |
147 |
$784.43 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
65 |
42 |
$776.28 |
| E0570 |
Nebulizer, with compressor |
54 |
36 |
$383.51 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
20 |
12 |
$200.76 |