| 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 |
10,014 |
9,067 |
$373K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,732 |
5,214 |
$86K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,536 |
5,080 |
$82K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
215 |
202 |
$66K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
353 |
291 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
1,433 |
1,296 |
$14K |
| 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 |
448 |
425 |
$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) |
328 |
246 |
$9K |
| K0001 |
Standard wheelchair |
414 |
400 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
616 |
527 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
1,266 |
1,097 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
1,166 |
1,015 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
444 |
372 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,566 |
1,324 |
$4K |
| E0570 |
Nebulizer, with compressor |
284 |
270 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
133 |
111 |
$2K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
41 |
37 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
241 |
205 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
174 |
153 |
$620.83 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
27 |
25 |
$303.25 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
14 |
12 |
$37.51 |