| 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 |
15,050 |
11,300 |
$709K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,392 |
4,708 |
$276K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,709 |
2,164 |
$199K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,195 |
2,553 |
$156K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
5,289 |
4,207 |
$143K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,043 |
8,289 |
$93K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,353 |
4,717 |
$83K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,240 |
1,617 |
$69K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,615 |
1,808 |
$64K |
| A7035 |
Headgear used with positive airway pressure device |
3,551 |
2,799 |
$56K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,374 |
5,397 |
$37K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
255 |
162 |
$32K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,534 |
1,042 |
$32K |
| E0570 |
Nebulizer, with compressor |
1,784 |
1,398 |
$23K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,504 |
2,011 |
$20K |
| E1392 |
Portable oxygen concentrator, rental |
752 |
592 |
$10K |
| 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) |
120 |
102 |
$9K |
| K0001 |
Standard wheelchair |
72 |
67 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
40 |
36 |
$496.85 |
| A7037 |
Tubing used with positive airway pressure device |
18 |
13 |
$235.74 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
15 |
12 |
$0.00 |