| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
20,890 |
19,036 |
$980K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,970 |
1,886 |
$854K |
| A7030 |
Full face mask used with positive airway pressure device, each |
7,395 |
6,903 |
$587K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,907 |
4,457 |
$465K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
16,769 |
14,875 |
$336K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
11,789 |
10,897 |
$321K |
| 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) |
1,885 |
1,725 |
$242K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
4,430 |
4,121 |
$214K |
| A7035 |
Headgear used with positive airway pressure device |
9,001 |
8,284 |
$178K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,567 |
5,300 |
$170K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,078 |
2,907 |
$144K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,673 |
2,456 |
$94K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
6,905 |
6,319 |
$75K |
| E1392 |
Portable oxygen concentrator, rental |
3,109 |
2,688 |
$73K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12,889 |
12,059 |
$66K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,166 |
1,078 |
$11K |
| K0001 |
Standard wheelchair |
260 |
233 |
$6K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
25 |
24 |
$4K |
| A7036 |
Chinstrap used with positive airway pressure device |
60 |
54 |
$552.35 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
25 |
25 |
$451.58 |