| 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 |
47,250 |
40,758 |
$2.02M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,208 |
2,773 |
$1.26M |
| 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 |
10,974 |
9,813 |
$195K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
2,630 |
2,375 |
$188K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,612 |
11,564 |
$169K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,228 |
3,527 |
$103K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,260 |
1,840 |
$70K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
673 |
402 |
$56K |
| E1392 |
Portable oxygen concentrator, rental |
3,093 |
2,893 |
$33K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,416 |
1,236 |
$29K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,172 |
1,289 |
$25K |
| A7037 |
Tubing used with positive airway pressure device |
3,827 |
2,446 |
$23K |
| A7035 |
Headgear used with positive airway pressure device |
4,135 |
2,313 |
$18K |
| 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) |
271 |
195 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,516 |
1,512 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
835 |
414 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,536 |
3,162 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
668 |
292 |
$6K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
126 |
118 |
$6K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
477 |
429 |
$6K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
170 |
152 |
$5K |
| E0570 |
Nebulizer, with compressor |
501 |
454 |
$3K |
| K0001 |
Standard wheelchair |
317 |
257 |
$2K |