| 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 |
7,482 |
7,337 |
$512K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
982 |
974 |
$373K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,221 |
4,177 |
$341K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
788 |
773 |
$141K |
| 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) |
672 |
669 |
$92K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,648 |
1,642 |
$84K |
| 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 |
1,817 |
1,803 |
$49K |
| A7035 |
Headgear used with positive airway pressure device |
2,573 |
2,560 |
$45K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,281 |
1,272 |
$38K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,245 |
1,236 |
$37K |
| K0001 |
Standard wheelchair |
1,037 |
984 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,971 |
1,918 |
$32K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
130 |
128 |
$32K |
| A7030 |
Full face mask used with positive airway pressure device, each |
406 |
401 |
$30K |
| E1392 |
Portable oxygen concentrator, rental |
1,474 |
1,436 |
$29K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,209 |
4,182 |
$25K |
| E0570 |
Nebulizer, with compressor |
896 |
885 |
$21K |
| A7037 |
Tubing used with positive airway pressure device |
1,245 |
1,239 |
$20K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
657 |
654 |
$19K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,748 |
1,743 |
$18K |
| A7031 |
Face mask interface, replacement for full face mask, each |
229 |
229 |
$8K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
14 |
12 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
229 |
229 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
91 |
89 |
$1K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
13 |
12 |
$475.11 |
| A7036 |
Chinstrap used with positive airway pressure device |
14 |
14 |
$135.49 |