| 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 |
9,634 |
7,773 |
$274K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,388 |
5,913 |
$32K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,032 |
824 |
$21K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
185 |
106 |
$19K |
| E0570 |
Nebulizer, with compressor |
3,602 |
2,811 |
$16K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
582 |
505 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
337 |
298 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
947 |
644 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
654 |
473 |
$3K |
| K0001 |
Standard wheelchair |
332 |
269 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
203 |
167 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
173 |
129 |
$823.16 |
| A7030 |
Full face mask used with positive airway pressure device, each |
19 |
16 |
$358.63 |
| A7031 |
Face mask interface, replacement for full face mask, each |
25 |
14 |
$180.37 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
13 |
12 |
$159.31 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
32 |
27 |
$50.62 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
264 |
183 |
$48.04 |