| 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 |
6,116 |
6,077 |
$374K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
861 |
851 |
$275K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,075 |
3,062 |
$196K |
| 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 |
2,648 |
2,639 |
$52K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
390 |
386 |
$52K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
675 |
672 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
1,315 |
1,312 |
$21K |
| A7030 |
Full face mask used with positive airway pressure device, each |
322 |
320 |
$21K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
733 |
729 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,457 |
2,441 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
666 |
665 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
382 |
382 |
$11K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
704 |
689 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
557 |
554 |
$9K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
279 |
276 |
$8K |
| E0570 |
Nebulizer, with compressor |
590 |
588 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
829 |
823 |
$8K |
| K0001 |
Standard wheelchair |
250 |
249 |
$8K |
| A7031 |
Face mask interface, replacement for full face mask, each |
267 |
265 |
$7K |
| 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) |
84 |
83 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
50 |
48 |
$849.33 |