| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,910 |
3,774 |
$1.98M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
30,267 |
28,152 |
$1.42M |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,745 |
8,506 |
$415K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
2,081 |
2,081 |
$379K |
| 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) |
4,176 |
3,972 |
$360K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,128 |
3,818 |
$257K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,370 |
3,115 |
$153K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,120 |
1,072 |
$148K |
| 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 |
8,339 |
7,772 |
$135K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,528 |
3,293 |
$91K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,465 |
7,748 |
$80K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,638 |
1,527 |
$71K |
| A7035 |
Headgear used with positive airway pressure device |
4,110 |
3,811 |
$55K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,606 |
5,248 |
$52K |
| 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) |
240 |
229 |
$46K |
| E1392 |
Portable oxygen concentrator, rental |
3,318 |
3,144 |
$43K |
| A7037 |
Tubing used with positive airway pressure device |
2,426 |
2,294 |
$29K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
425 |
398 |
$28K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,567 |
2,390 |
$19K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
262 |
259 |
$14K |
| E0570 |
Nebulizer, with compressor |
447 |
432 |
$6K |
| A7036 |
Chinstrap used with positive airway pressure device |
369 |
359 |
$3K |
| K0001 |
Standard wheelchair |
38 |
37 |
$414.37 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
15 |
14 |
$203.70 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
13 |
$20.12 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
13 |
$5.31 |