| 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 |
14,311 |
11,304 |
$680K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,683 |
1,388 |
$121K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,134 |
1,819 |
$113K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,753 |
2,453 |
$100K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,262 |
6,527 |
$67K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
230 |
194 |
$60K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,096 |
1,815 |
$59K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,438 |
2,094 |
$45K |
| 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) |
380 |
324 |
$37K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,005 |
901 |
$36K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
785 |
662 |
$35K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,864 |
5,318 |
$33K |
| E0570 |
Nebulizer, with compressor |
4,774 |
3,777 |
$31K |
| A7035 |
Headgear used with positive airway pressure device |
1,699 |
1,432 |
$28K |
| E1392 |
Portable oxygen concentrator, rental |
1,500 |
1,179 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,119 |
948 |
$9K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
136 |
118 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,822 |
1,285 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
242 |
197 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
52 |
37 |
$630.54 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
100 |
55 |
$628.11 |
| K0001 |
Standard wheelchair |
15 |
13 |
$242.02 |