| 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 |
13,032 |
8,443 |
$383K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
511 |
292 |
$105K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,237 |
5,504 |
$52K |
| A7031 |
Face mask interface, replacement for full face mask, each |
757 |
524 |
$25K |
| A7030 |
Full face mask used with positive airway pressure device, each |
381 |
232 |
$12K |
| E0601 |
Continuous positive airway pressure (cpap) device |
220 |
180 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
852 |
631 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,614 |
1,153 |
$6K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
409 |
206 |
$5K |
| E0570 |
Nebulizer, with compressor |
1,512 |
944 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
470 |
309 |
$3K |
| K0001 |
Standard wheelchair |
569 |
324 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
238 |
149 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
209 |
135 |
$507.85 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
128 |
112 |
$53.79 |
| E1392 |
Portable oxygen concentrator, rental |
12 |
12 |
$0.00 |