| 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 |
8,226 |
6,026 |
$160K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,283 |
1,116 |
$57K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
232 |
173 |
$57K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,442 |
1,892 |
$54K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,706 |
1,423 |
$29K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,240 |
972 |
$27K |
| 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 |
2,071 |
1,629 |
$24K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,062 |
918 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
1,943 |
1,577 |
$16K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
660 |
468 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
1,494 |
1,140 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
622 |
463 |
$6K |
| K0001 |
Standard wheelchair |
844 |
684 |
$6K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
927 |
709 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,082 |
912 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,479 |
2,438 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
902 |
714 |
$5K |
| E0570 |
Nebulizer, with compressor |
520 |
451 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
97 |
90 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
187 |
136 |
$2K |
| 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) |
14 |
12 |
$712.77 |