| 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 |
10,305 |
9,399 |
$778K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,932 |
1,816 |
$124K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,531 |
2,276 |
$111K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,299 |
2,159 |
$107K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,228 |
4,638 |
$67K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,463 |
1,357 |
$58K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,322 |
1,202 |
$48K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,690 |
2,444 |
$46K |
| A7030 |
Full face mask used with positive airway pressure device, each |
476 |
419 |
$37K |
| A7035 |
Headgear used with positive airway pressure device |
1,680 |
1,548 |
$33K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,226 |
4,896 |
$30K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
654 |
624 |
$26K |
| A7037 |
Tubing used with positive airway pressure device |
1,121 |
1,039 |
$17K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,216 |
1,129 |
$14K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
48 |
48 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
302 |
277 |
$3K |
| E0570 |
Nebulizer, with compressor |
167 |
142 |
$682.37 |
| K0001 |
Standard wheelchair |
26 |
26 |
$493.35 |