| 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 |
1,610 |
1,576 |
$80K |
| 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) |
155 |
150 |
$49K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
307 |
306 |
$15K |
| E0601 |
Continuous positive airway pressure (cpap) device |
343 |
330 |
$14K |
| K0001 |
Standard wheelchair |
381 |
376 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
408 |
405 |
$6K |
| 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 |
285 |
284 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,164 |
1,155 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
222 |
221 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
71 |
69 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
13 |
13 |
$845.75 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
26 |
26 |
$301.90 |