| 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 |
18,203 |
16,509 |
$854K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,949 |
9,001 |
$370K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,566 |
3,298 |
$76K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,979 |
2,740 |
$75K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
507 |
401 |
$75K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
3,286 |
2,687 |
$64K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,286 |
1,196 |
$62K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
642 |
612 |
$18K |
| 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 |
1,782 |
1,537 |
$15K |
| E0570 |
Nebulizer, with compressor |
106 |
105 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
1,187 |
1,106 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,233 |
1,121 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
1,380 |
1,272 |
$4K |
| 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) |
86 |
82 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,930 |
1,703 |
$2K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
13 |
13 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
57 |
49 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
440 |
401 |
$1K |
| K0001 |
Standard wheelchair |
15 |
12 |
$186.97 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
62 |
56 |
$60.00 |