| 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 |
14,548 |
13,536 |
$661K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
763 |
715 |
$303K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,709 |
1,640 |
$75K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,245 |
7,790 |
$67K |
| A7030 |
Full face mask used with positive airway pressure device, each |
615 |
587 |
$45K |
| 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) |
320 |
316 |
$33K |
| A7031 |
Face mask interface, replacement for full face mask, each |
589 |
570 |
$31K |
| E1392 |
Portable oxygen concentrator, rental |
1,478 |
1,369 |
$20K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
513 |
504 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,036 |
988 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
667 |
663 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
132 |
132 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
404 |
390 |
$5K |
| K0001 |
Standard wheelchair |
380 |
375 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
52 |
52 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
150 |
129 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
200 |
195 |
$2K |
| E0570 |
Nebulizer, with compressor |
43 |
38 |
$540.19 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
13 |
12 |
$197.07 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
18 |
14 |
$93.55 |