| 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 |
12,132 |
10,551 |
$290K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
378 |
344 |
$72K |
| 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 |
4,701 |
3,992 |
$57K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,352 |
2,046 |
$46K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,314 |
2,871 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
2,543 |
2,306 |
$19K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
554 |
396 |
$15K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
39 |
26 |
$15K |
| A7030 |
Full face mask used with positive airway pressure device, each |
265 |
206 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
1,041 |
754 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
1,263 |
893 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,452 |
1,788 |
$6K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
235 |
203 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
79 |
63 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
149 |
111 |
$3K |
| K0001 |
Standard wheelchair |
248 |
211 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
341 |
253 |
$2K |
| E0570 |
Nebulizer, with compressor |
294 |
274 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
50 |
24 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
34 |
24 |
$566.70 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
17 |
16 |
$434.89 |
| 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) |
16 |
12 |
$233.44 |