| 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 |
4,121 |
3,550 |
$371K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,972 |
1,742 |
$92K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,325 |
2,090 |
$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) |
91 |
78 |
$10K |
| E0570 |
Nebulizer, with compressor |
426 |
323 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,153 |
1,077 |
$4K |
| K0002 |
Standard hemi (low seat) wheelchair |
43 |
41 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
574 |
450 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
460 |
354 |
$802.77 |
| A7030 |
Full face mask used with positive airway pressure device, each |
98 |
72 |
$405.37 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
72 |
71 |
$336.54 |
| A7031 |
Face mask interface, replacement for full face mask, each |
76 |
58 |
$203.38 |
| E1392 |
Portable oxygen concentrator, rental |
47 |
37 |
$185.78 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12 |
12 |
$75.15 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
59 |
45 |
$75.00 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
17 |
15 |
$54.81 |
| A7035 |
Headgear used with positive airway pressure device |
153 |
121 |
$0.00 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
131 |
101 |
$0.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
15 |
12 |
$0.00 |