| 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 |
27,767 |
25,696 |
$1.32M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
495 |
478 |
$266K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,517 |
4,395 |
$191K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
615 |
580 |
$118K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,912 |
1,768 |
$113K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,548 |
9,762 |
$96K |
| 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) |
1,152 |
1,064 |
$79K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,602 |
1,455 |
$66K |
| 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 |
3,333 |
3,124 |
$59K |
| E1392 |
Portable oxygen concentrator, rental |
3,536 |
3,382 |
$59K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
770 |
722 |
$32K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
171 |
153 |
$31K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,997 |
2,787 |
$28K |
| A7035 |
Headgear used with positive airway pressure device |
2,130 |
1,985 |
$27K |
| A7037 |
Tubing used with positive airway pressure device |
2,101 |
1,943 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
150 |
147 |
$19K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
589 |
542 |
$13K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,210 |
1,125 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
77 |
66 |
$4K |
| E0570 |
Nebulizer, with compressor |
112 |
111 |
$3K |
| K0001 |
Standard wheelchair |
59 |
52 |
$1K |