| 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 |
17,883 |
15,293 |
$784K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,235 |
963 |
$363K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,650 |
3,291 |
$224K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,224 |
1,929 |
$145K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,779 |
2,399 |
$108K |
| 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 |
6,409 |
5,591 |
$94K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,922 |
2,542 |
$72K |
| A7035 |
Headgear used with positive airway pressure device |
3,856 |
3,365 |
$62K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,942 |
1,662 |
$61K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
432 |
374 |
$54K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,613 |
1,394 |
$48K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,211 |
3,632 |
$41K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,577 |
4,909 |
$37K |
| A7037 |
Tubing used with positive airway pressure device |
2,189 |
1,893 |
$28K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,616 |
2,315 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
911 |
812 |
$10K |
| E0570 |
Nebulizer, with compressor |
157 |
134 |
$4K |
| K0001 |
Standard wheelchair |
146 |
106 |
$2K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
78 |
64 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
43 |
37 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
58 |
50 |
$705.37 |
| A7036 |
Chinstrap used with positive airway pressure device |
28 |
26 |
$225.33 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
29 |
24 |
$162.20 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
12 |
$5.45 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
12 |
$1.32 |