| 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 |
13,603 |
12,187 |
$454K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,681 |
5,943 |
$82K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
166 |
141 |
$42K |
| E0601 |
Continuous positive airway pressure (cpap) device |
782 |
632 |
$20K |
| E0570 |
Nebulizer, with compressor |
3,300 |
2,948 |
$15K |
| E1392 |
Portable oxygen concentrator, rental |
1,025 |
929 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
348 |
259 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
866 |
699 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
660 |
582 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,772 |
1,271 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
276 |
169 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
47 |
37 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,302 |
1,148 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
52 |
49 |
$387.88 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$305.49 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
27 |
26 |
$133.76 |
| K0001 |
Standard wheelchair |
13 |
13 |
$56.20 |