| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
2,204 |
1,893 |
$48K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,656 |
1,327 |
$33K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,118 |
1,803 |
$16K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
151 |
128 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
577 |
484 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
228 |
198 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
212 |
185 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,582 |
1,381 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
349 |
297 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
121 |
101 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
32 |
27 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
215 |
184 |
$1K |
| E0570 |
Nebulizer, with compressor |
115 |
107 |
$1K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
230 |
210 |
$639.22 |
| K0001 |
Standard wheelchair |
92 |
62 |
$484.48 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
114 |
92 |
$388.71 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
18 |
16 |
$250.58 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
12 |
12 |
$47.62 |