| 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 |
27,039 |
22,213 |
$1.14M |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,699 |
3,007 |
$198K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,589 |
5,632 |
$194K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,270 |
3,830 |
$170K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
6,836 |
5,821 |
$158K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,658 |
13,765 |
$144K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,756 |
3,290 |
$136K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,746 |
3,335 |
$102K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,995 |
5,335 |
$77K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,991 |
2,732 |
$64K |
| E1392 |
Portable oxygen concentrator, rental |
4,486 |
3,686 |
$62K |
| A7035 |
Headgear used with positive airway pressure device |
4,409 |
3,739 |
$54K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
13,684 |
12,055 |
$51K |
| E0570 |
Nebulizer, with compressor |
7,914 |
6,805 |
$41K |
| 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) |
277 |
210 |
$21K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,564 |
3,046 |
$19K |
| K0001 |
Standard wheelchair |
147 |
115 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
187 |
164 |
$2K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
17 |
12 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,255 |
1,499 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
227 |
164 |
$538.04 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
95 |
75 |
$420.14 |
| A7036 |
Chinstrap used with positive airway pressure device |
21 |
12 |
$64.83 |