| 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 |
9,841 |
8,109 |
$408K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,797 |
3,318 |
$162K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
531 |
397 |
$146K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,779 |
5,017 |
$117K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,394 |
1,290 |
$22K |
| 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 |
1,329 |
1,028 |
$12K |
| K0001 |
Standard wheelchair |
419 |
399 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
156 |
119 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
590 |
517 |
$4K |
| E0570 |
Nebulizer, with compressor |
242 |
206 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
276 |
233 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
95 |
78 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
208 |
183 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
242 |
202 |
$1K |
| E1399 |
Durable medical equipment, miscellaneous |
33 |
12 |
$775.45 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
15 |
12 |
$311.40 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
31 |
27 |
$106.32 |