| 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 |
6,685 |
6,456 |
$209K |
| A7030 |
Full face mask used with positive airway pressure device, each |
769 |
752 |
$39K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,142 |
1,133 |
$37K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,131 |
1,108 |
$33K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
994 |
972 |
$20K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,767 |
2,673 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,459 |
1,447 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
2,638 |
2,498 |
$14K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
90 |
90 |
$12K |
| E0570 |
Nebulizer, with compressor |
1,442 |
1,398 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,927 |
1,891 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
715 |
703 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
139 |
139 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
250 |
248 |
$1K |
| K0001 |
Standard wheelchair |
154 |
154 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
26 |
26 |
$908.36 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
12 |
$7.51 |