| 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 |
11,556 |
8,338 |
$263K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,538 |
812 |
$169K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,049 |
1,546 |
$41K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,605 |
3,952 |
$28K |
| A7030 |
Full face mask used with positive airway pressure device, each |
795 |
525 |
$15K |
| E0570 |
Nebulizer, with compressor |
2,292 |
1,784 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
779 |
629 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
626 |
412 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
1,196 |
808 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,017 |
1,352 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
556 |
372 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
196 |
166 |
$860.24 |
| 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) |
18 |
12 |
$525.70 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
39 |
24 |
$451.18 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
120 |
82 |
$261.83 |
| E1130 |
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
40 |
39 |
$222.88 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
21 |
16 |
$90.39 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
66 |
39 |
$67.23 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
177 |
105 |
$0.00 |
| K0001 |
Standard wheelchair |
19 |
13 |
$0.00 |