| 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 |
18,501 |
8,727 |
$363K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
842 |
418 |
$135K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,562 |
3,275 |
$92K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,157 |
807 |
$40K |
| 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 |
6,079 |
2,800 |
$34K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,035 |
1,675 |
$21K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
664 |
470 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
1,784 |
1,225 |
$13K |
| 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) |
306 |
178 |
$11K |
| E1392 |
Portable oxygen concentrator, rental |
2,351 |
1,225 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
1,475 |
1,008 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
856 |
632 |
$10K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
157 |
106 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
138 |
113 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
430 |
333 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,121 |
2,085 |
$6K |
| E0570 |
Nebulizer, with compressor |
781 |
451 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
246 |
179 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
156 |
81 |
$4K |
| K0001 |
Standard wheelchair |
422 |
208 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
390 |
297 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
82 |
37 |
$1K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
25 |
12 |
$214.87 |