| 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 |
83,168 |
70,829 |
$3.50M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
4,072 |
3,469 |
$1.77M |
| 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 |
30,806 |
26,884 |
$632K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
6,500 |
5,523 |
$374K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
21,614 |
19,094 |
$273K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,552 |
5,268 |
$179K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,918 |
983 |
$136K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,434 |
1,889 |
$85K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,637 |
1,920 |
$52K |
| E1392 |
Portable oxygen concentrator, rental |
5,441 |
4,839 |
$47K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
1,063 |
1,002 |
$45K |
| A7037 |
Tubing used with positive airway pressure device |
4,854 |
3,058 |
$39K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,350 |
1,325 |
$30K |
| A7035 |
Headgear used with positive airway pressure device |
5,119 |
2,701 |
$25K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,016 |
986 |
$22K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
1,111 |
1,004 |
$19K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,709 |
760 |
$15K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
337 |
293 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,313 |
1,872 |
$14K |
| 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) |
188 |
143 |
$12K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
336 |
280 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,155 |
3,866 |
$10K |
| 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) |
41 |
25 |
$9K |
| E0570 |
Nebulizer, with compressor |
1,099 |
1,008 |
$7K |
| K0001 |
Standard wheelchair |
761 |
647 |
$5K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
75 |
62 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
318 |
159 |
$317.65 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
22 |
13 |
$185.31 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
17 |
12 |
$151.91 |
| A7036 |
Chinstrap used with positive airway pressure device |
32 |
24 |
$93.12 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
37 |
26 |
$18.38 |