| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,319 |
875 |
$286K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
13,302 |
8,770 |
$221K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,702 |
4,204 |
$101K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,090 |
828 |
$62K |
| A7030 |
Full face mask used with positive airway pressure device, each |
831 |
625 |
$42K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,746 |
4,267 |
$27K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
876 |
627 |
$26K |
| 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 |
3,123 |
2,011 |
$21K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
699 |
556 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
1,585 |
1,192 |
$16K |
| E0570 |
Nebulizer, with compressor |
1,267 |
1,147 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
2,019 |
1,550 |
$11K |
| 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) |
583 |
267 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
1,283 |
934 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
370 |
262 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,179 |
1,564 |
$6K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
250 |
172 |
$5K |
| K0001 |
Standard wheelchair |
395 |
365 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
231 |
172 |
$4K |
| A7036 |
Chinstrap used with positive airway pressure device |
465 |
355 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
392 |
293 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
53 |
37 |
$411.17 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
42 |
37 |
$12.30 |