| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,194 |
1,149 |
$698K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
7,988 |
7,600 |
$489K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,241 |
4,010 |
$72K |
| 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 |
1,751 |
1,711 |
$69K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,318 |
1,284 |
$43K |
| K0001 |
Standard wheelchair |
456 |
432 |
$10K |
| A7030 |
Full face mask used with positive airway pressure device, each |
77 |
74 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
182 |
171 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
172 |
159 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
401 |
356 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12 |
12 |
$1K |
| 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) |
13 |
12 |
$923.31 |
| E1392 |
Portable oxygen concentrator, rental |
201 |
196 |
$315.23 |
| E0570 |
Nebulizer, with compressor |
14 |
13 |
$0.00 |