| 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 |
77,740 |
68,040 |
$3.70M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,748 |
3,196 |
$1.54M |
| 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 |
25,879 |
23,126 |
$572K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
6,844 |
6,206 |
$425K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
22,779 |
20,631 |
$297K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,673 |
6,453 |
$216K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,443 |
1,261 |
$195K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,117 |
2,271 |
$126K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
4,939 |
2,579 |
$87K |
| E1392 |
Portable oxygen concentrator, rental |
4,861 |
4,347 |
$55K |
| A7037 |
Tubing used with positive airway pressure device |
5,787 |
3,524 |
$49K |
| A7035 |
Headgear used with positive airway pressure device |
6,747 |
3,540 |
$41K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,898 |
1,667 |
$41K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
2,637 |
2,232 |
$40K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
945 |
885 |
$39K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,618 |
1,408 |
$32K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,480 |
1,236 |
$29K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
905 |
711 |
$26K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
1,104 |
433 |
$25K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
4,516 |
2,503 |
$20K |
| E0570 |
Nebulizer, with compressor |
2,031 |
1,532 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,061 |
4,940 |
$15K |
| 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) |
284 |
208 |
$12K |
| K0001 |
Standard wheelchair |
1,995 |
1,499 |
$12K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,158 |
563 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
891 |
616 |
$11K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
190 |
103 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
298 |
137 |
$2K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
25 |
24 |
$2K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
20 |
12 |
$539.08 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
24 |
12 |
$292.90 |
| A7036 |
Chinstrap used with positive airway pressure device |
43 |
14 |
$104.66 |