| 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 |
7,028 |
4,227 |
$127K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,770 |
1,381 |
$24K |
| A7030 |
Full face mask used with positive airway pressure device, each |
376 |
247 |
$15K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,623 |
1,282 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
346 |
253 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
461 |
353 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
593 |
424 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
161 |
118 |
$5K |
| K0001 |
Standard wheelchair |
157 |
155 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
163 |
130 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
525 |
330 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,099 |
749 |
$3K |
| 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 |
384 |
218 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
147 |
85 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
129 |
97 |
$638.40 |
| 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) |
24 |
12 |
$424.40 |
| A7036 |
Chinstrap used with positive airway pressure device |
19 |
12 |
$94.27 |