| 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 |
7,425 |
7,301 |
$353K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
655 |
637 |
$108K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,715 |
1,695 |
$88K |
| A7030 |
Full face mask used with positive airway pressure device, each |
881 |
860 |
$72K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,168 |
1,144 |
$68K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
842 |
825 |
$46K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,685 |
3,615 |
$34K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
462 |
448 |
$33K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,205 |
2,179 |
$32K |
| A7037 |
Tubing used with positive airway pressure device |
1,586 |
1,553 |
$27K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,565 |
2,515 |
$23K |
| A7035 |
Headgear used with positive airway pressure device |
1,144 |
1,126 |
$19K |
| E0570 |
Nebulizer, with compressor |
1,361 |
1,329 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
779 |
768 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
124 |
120 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
83 |
82 |
$4K |
| K0001 |
Standard wheelchair |
50 |
50 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
163 |
163 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
12 |
12 |
$92.60 |