| 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 |
15,850 |
14,166 |
$650K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,658 |
8,637 |
$419K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,237 |
2,903 |
$108K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,060 |
3,600 |
$85K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
471 |
402 |
$74K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
3,369 |
2,755 |
$63K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,067 |
963 |
$47K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
83 |
82 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
236 |
205 |
$9K |
| 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 |
488 |
410 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
1,430 |
1,311 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
1,206 |
1,099 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,934 |
1,621 |
$4K |
| 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) |
111 |
89 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
888 |
780 |
$3K |
| K0001 |
Standard wheelchair |
202 |
179 |
$3K |
| E0570 |
Nebulizer, with compressor |
36 |
36 |
$1K |
| 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) |
13 |
13 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
414 |
356 |
$809.00 |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
12 |
12 |
$293.82 |
| E1392 |
Portable oxygen concentrator, rental |
31 |
31 |
$123.00 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
25 |
25 |
$42.63 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
29 |
18 |
$0.00 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
14 |
$0.00 |