| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
10,671 |
10,453 |
$584K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,393 |
2,385 |
$236K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
755 |
747 |
$226K |
| 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) |
1,555 |
1,522 |
$198K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
11,566 |
11,443 |
$126K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,142 |
1,126 |
$84K |
| A7037 |
Tubing used with positive airway pressure device |
1,933 |
1,905 |
$39K |
| A7035 |
Headgear used with positive airway pressure device |
1,893 |
1,866 |
$39K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
784 |
773 |
$35K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
965 |
963 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,371 |
2,327 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,259 |
1,241 |
$8K |
| A7036 |
Chinstrap used with positive airway pressure device |
214 |
209 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
27 |
26 |
$572.96 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
28 |
27 |
$406.23 |
| K0001 |
Standard wheelchair |
26 |
24 |
$322.06 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
128 |
127 |
$105.46 |