| 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 |
8,992 |
6,755 |
$201K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,787 |
2,984 |
$61K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
202 |
149 |
$42K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,999 |
1,506 |
$40K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,473 |
4,072 |
$28K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,923 |
1,423 |
$19K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
881 |
736 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,918 |
1,499 |
$14K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,088 |
894 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
1,821 |
1,396 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,759 |
2,834 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
1,789 |
1,374 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
191 |
171 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,102 |
890 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
627 |
464 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
47 |
38 |
$653.08 |
| E1392 |
Portable oxygen concentrator, rental |
331 |
292 |
$500.39 |
| E0570 |
Nebulizer, with compressor |
323 |
241 |
$367.31 |
| K0001 |
Standard wheelchair |
50 |
43 |
$246.36 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
64 |
53 |
$204.32 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
68 |
63 |
$151.64 |
| E0156 |
Seat attachment, walker |
27 |
27 |
$19.35 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
647 |
531 |
$0.00 |