| 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 |
9,968 |
9,316 |
$611K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
625 |
601 |
$369K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,689 |
1,594 |
$118K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,566 |
4,334 |
$70K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,578 |
1,454 |
$49K |
| E0570 |
Nebulizer, with compressor |
1,164 |
1,117 |
$19K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
352 |
315 |
$15K |
| A7030 |
Full face mask used with positive airway pressure device, each |
197 |
181 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
544 |
493 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
578 |
534 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
866 |
762 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
98 |
96 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
218 |
209 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
96 |
92 |
$3K |
| K0001 |
Standard wheelchair |
65 |
51 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
24 |
24 |
$773.96 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$364.65 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
16 |
15 |
$234.45 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
29 |
25 |
$179.41 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
17 |
14 |
$43.78 |