| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,554 |
1,200 |
$418K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
15,457 |
11,916 |
$406K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,978 |
2,549 |
$45K |
| 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 |
3,329 |
2,654 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,116 |
2,729 |
$37K |
| E1392 |
Portable oxygen concentrator, rental |
2,812 |
2,291 |
$22K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,022 |
764 |
$17K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,068 |
738 |
$15K |
| A7035 |
Headgear used with positive airway pressure device |
1,157 |
821 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
1,335 |
908 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,332 |
1,440 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
106 |
84 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
131 |
92 |
$3K |
| K0001 |
Standard wheelchair |
98 |
76 |
$2K |
| E0570 |
Nebulizer, with compressor |
162 |
144 |
$836.90 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
60 |
52 |
$503.94 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
158 |
107 |
$259.30 |
| A7031 |
Face mask interface, replacement for full face mask, each |
14 |
12 |
$29.59 |