| 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 |
25,786 |
21,793 |
$890K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,740 |
1,417 |
$579K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
2,341 |
2,202 |
$187K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,758 |
11,332 |
$144K |
| 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 |
4,489 |
3,840 |
$66K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,325 |
1,891 |
$53K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,003 |
1,119 |
$46K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,721 |
1,497 |
$26K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,617 |
860 |
$23K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,593 |
884 |
$20K |
| E1392 |
Portable oxygen concentrator, rental |
1,664 |
1,559 |
$16K |
| K0001 |
Standard wheelchair |
1,260 |
916 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
2,752 |
1,557 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,472 |
2,500 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
58 |
42 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,734 |
948 |
$5K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
329 |
264 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
267 |
133 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
493 |
328 |
$3K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
104 |
39 |
$1K |
| 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) |
23 |
12 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
14 |
13 |
$344.51 |
| E0570 |
Nebulizer, with compressor |
14 |
12 |
$77.80 |