| 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 |
5,950 |
5,835 |
$215K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,114 |
3,934 |
$103K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
666 |
653 |
$66K |
| A7030 |
Full face mask used with positive airway pressure device, each |
837 |
823 |
$49K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
669 |
651 |
$44K |
| 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) |
341 |
334 |
$19K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,579 |
1,559 |
$18K |
| 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 |
2,039 |
2,006 |
$17K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
506 |
500 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
1,332 |
1,311 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
1,454 |
1,432 |
$16K |
| A7031 |
Face mask interface, replacement for full face mask, each |
505 |
497 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,974 |
1,937 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
55 |
54 |
$2K |
| 94660 |
|
17 |
17 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
259 |
258 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
79 |
78 |
$448.12 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$360.74 |