| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,350 |
1,807 |
$606K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
11,165 |
9,372 |
$403K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,875 |
6,599 |
$46K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,786 |
1,517 |
$35K |
| E0570 |
Nebulizer, with compressor |
3,181 |
2,686 |
$16K |
| K0001 |
Standard wheelchair |
620 |
511 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
648 |
578 |
$8K |
| A7030 |
Full face mask used with positive airway pressure device, each |
271 |
192 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,374 |
885 |
$7K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
255 |
225 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
687 |
587 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
413 |
338 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
171 |
141 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
70 |
49 |
$869.35 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
34 |
25 |
$500.23 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
554 |
366 |
$207.47 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
28 |
28 |
$50.48 |