| 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 |
12,238 |
10,803 |
$416K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
604 |
474 |
$155K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,097 |
971 |
$34K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,078 |
4,466 |
$34K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
149 |
137 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,331 |
1,190 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
805 |
738 |
$6K |
| E0570 |
Nebulizer, with compressor |
623 |
551 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
132 |
116 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
232 |
217 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
179 |
145 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
947 |
846 |
$2K |
| K0001 |
Standard wheelchair |
634 |
508 |
$2K |
| E0184 |
Dry pressure mattress |
17 |
14 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
121 |
112 |
$999.14 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
425 |
340 |
$748.62 |
| A7035 |
Headgear used with positive airway pressure device |
25 |
25 |
$290.78 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
43 |
38 |
$101.08 |