| 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 |
16,702 |
12,116 |
$689K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,592 |
1,019 |
$341K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,763 |
8,027 |
$87K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,781 |
1,244 |
$46K |
| K0001 |
Standard wheelchair |
744 |
544 |
$9K |
| 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) |
162 |
116 |
$7K |
| E0570 |
Nebulizer, with compressor |
1,625 |
1,219 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
168 |
129 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
176 |
146 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
471 |
344 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
201 |
140 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
474 |
342 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,056 |
775 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
246 |
184 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
115 |
92 |
$826.76 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
34 |
25 |
$657.81 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
17 |
14 |
$494.74 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
92 |
76 |
$349.87 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
68 |
51 |
$299.32 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
19 |
12 |
$17.63 |