| 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 |
15,856 |
12,760 |
$261K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,172 |
860 |
$85K |
| E1392 |
Portable oxygen concentrator, rental |
6,009 |
4,786 |
$37K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,014 |
1,682 |
$37K |
| A7030 |
Full face mask used with positive airway pressure device, each |
735 |
596 |
$22K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,433 |
4,462 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
1,701 |
1,395 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
483 |
376 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
663 |
526 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,282 |
1,902 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
159 |
130 |
$3K |
| E0570 |
Nebulizer, with compressor |
905 |
777 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
222 |
182 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
47 |
36 |
$607.28 |
| K0001 |
Standard wheelchair |
238 |
186 |
$589.82 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
174 |
144 |
$399.23 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
12 |
$190.19 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
47 |
45 |
$184.31 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
143 |
99 |
$128.00 |