| 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 |
6,947 |
6,833 |
$426K |
| 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 |
2,873 |
2,835 |
$112K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
141 |
130 |
$75K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,623 |
1,593 |
$58K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,822 |
1,755 |
$49K |
| A7030 |
Full face mask used with positive airway pressure device, each |
325 |
314 |
$25K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
389 |
370 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
1,022 |
980 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
640 |
614 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,306 |
1,250 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
262 |
252 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
64 |
61 |
$2K |
| K0001 |
Standard wheelchair |
75 |
72 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
25 |
24 |
$628.23 |