| 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 |
7,814 |
7,660 |
$432K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
802 |
785 |
$389K |
| 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 |
3,128 |
3,059 |
$108K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,648 |
2,527 |
$67K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,793 |
1,728 |
$56K |
| A7030 |
Full face mask used with positive airway pressure device, each |
291 |
283 |
$22K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
301 |
287 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
879 |
845 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
621 |
593 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
211 |
205 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,257 |
1,202 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
45 |
42 |
$4K |
| K0001 |
Standard wheelchair |
292 |
286 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
82 |
81 |
$3K |
| E0570 |
Nebulizer, with compressor |
256 |
255 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
163 |
153 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
40 |
36 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
12 |
12 |
$0.00 |