| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,170 |
1,134 |
$501K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
6,997 |
6,771 |
$482K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,037 |
3,012 |
$172K |
| 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) |
518 |
517 |
$69K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,427 |
1,371 |
$58K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,105 |
1,100 |
$53K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
301 |
301 |
$39K |
| A7035 |
Headgear used with positive airway pressure device |
2,389 |
2,348 |
$38K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,170 |
1,147 |
$33K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,616 |
2,432 |
$32K |
| A7037 |
Tubing used with positive airway pressure device |
1,940 |
1,917 |
$25K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,798 |
3,729 |
$21K |
| A7031 |
Face mask interface, replacement for full face mask, each |
848 |
843 |
$20K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
741 |
733 |
$18K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,502 |
1,474 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
670 |
657 |
$12K |
| K0001 |
Standard wheelchair |
247 |
246 |
$10K |
| E0570 |
Nebulizer, with compressor |
697 |
695 |
$8K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
26 |
26 |
$3K |
| 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 |
104 |
100 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
60 |
59 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
50 |
50 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
16 |
14 |
$68.42 |