| 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 |
2,793 |
2,754 |
$285K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,227 |
4,162 |
$251K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,895 |
1,816 |
$89K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
137 |
132 |
$53K |
| 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) |
322 |
319 |
$48K |
| A7030 |
Full face mask used with positive airway pressure device, each |
420 |
396 |
$34K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,461 |
1,448 |
$28K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
710 |
683 |
$20K |
| A7035 |
Headgear used with positive airway pressure device |
641 |
611 |
$12K |
| K0001 |
Standard wheelchair |
334 |
333 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,889 |
1,817 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
246 |
236 |
$8K |
| 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 |
230 |
230 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
105 |
97 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
113 |
100 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
477 |
457 |
$5K |
| E0570 |
Nebulizer, with compressor |
156 |
151 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
15 |
13 |
$1K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
12 |
12 |
$979.84 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$175.50 |