| 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 |
20,924 |
9,841 |
$331K |
| E0601 |
Continuous positive airway pressure (cpap) device |
9,806 |
6,083 |
$191K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,794 |
2,020 |
$94K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
737 |
566 |
$63K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,775 |
1,307 |
$34K |
| 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 |
4,457 |
2,307 |
$32K |
| 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) |
1,128 |
611 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
3,105 |
2,306 |
$23K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,366 |
1,559 |
$22K |
| A7037 |
Tubing used with positive airway pressure device |
3,102 |
2,296 |
$20K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
267 |
124 |
$19K |
| E1392 |
Portable oxygen concentrator, rental |
3,524 |
1,995 |
$18K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,792 |
1,460 |
$12K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
717 |
568 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,621 |
3,246 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
504 |
359 |
$5K |
| E0570 |
Nebulizer, with compressor |
638 |
373 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,304 |
987 |
$4K |
| K0001 |
Standard wheelchair |
637 |
318 |
$2K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
12 |
12 |
$3.56 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$0.99 |