| 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 |
9,103 |
8,191 |
$301K |
| E0601 |
Continuous positive airway pressure (cpap) device |
9,331 |
6,895 |
$182K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,101 |
2,734 |
$171K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,532 |
4,125 |
$124K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,959 |
3,431 |
$111K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,586 |
2,309 |
$91K |
| 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) |
1,823 |
1,293 |
$74K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,213 |
1,112 |
$69K |
| A7037 |
Tubing used with positive airway pressure device |
5,564 |
4,814 |
$63K |
| A7035 |
Headgear used with positive airway pressure device |
3,916 |
3,430 |
$54K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,584 |
9,426 |
$51K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,642 |
1,407 |
$33K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,768 |
2,512 |
$20K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
922 |
803 |
$15K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,828 |
1,632 |
$10K |
| E0570 |
Nebulizer, with compressor |
1,032 |
947 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
171 |
153 |
$2K |
| K0001 |
Standard wheelchair |
654 |
569 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
138 |
120 |
$819.83 |