| 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 |
60,978 |
57,786 |
$3.67M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,101 |
1,031 |
$656K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
42,724 |
40,393 |
$546K |
| E0601 |
Continuous positive airway pressure (cpap) device |
9,032 |
7,767 |
$406K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,746 |
3,047 |
$331K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
2,997 |
2,824 |
$234K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,656 |
2,451 |
$204K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,270 |
2,072 |
$97K |
| A7037 |
Tubing used with positive airway pressure device |
4,002 |
3,726 |
$64K |
| A7035 |
Headgear used with positive airway pressure device |
3,552 |
3,271 |
$63K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,579 |
1,443 |
$38K |
| 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) |
287 |
256 |
$33K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,098 |
988 |
$31K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,677 |
5,181 |
$25K |
| 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 |
830 |
754 |
$21K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,669 |
1,506 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
881 |
824 |
$14K |
| E0570 |
Nebulizer, with compressor |
1,414 |
1,288 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
502 |
448 |
$9K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,075 |
979 |
$5K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
176 |
152 |
$3K |
| K0003 |
Lightweight wheelchair |
86 |
82 |
$939.10 |
| K0001 |
Standard wheelchair |
74 |
69 |
$738.33 |
| A7036 |
Chinstrap used with positive airway pressure device |
71 |
67 |
$550.17 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
17 |
12 |
$96.64 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
56 |
45 |
$0.00 |