| 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 |
4,622 |
4,407 |
$464K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
169 |
149 |
$137K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,199 |
1,117 |
$89K |
| 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 |
2,299 |
2,199 |
$71K |
| K0001 |
Standard wheelchair |
1,025 |
992 |
$36K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,106 |
1,076 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
695 |
679 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
119 |
116 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
64 |
63 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
166 |
159 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
122 |
117 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
52 |
51 |
$2K |
| E0570 |
Nebulizer, with compressor |
75 |
74 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
16 |
13 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
56 |
51 |
$996.28 |
| A7031 |
Face mask interface, replacement for full face mask, each |
16 |
13 |
$613.11 |
| E1392 |
Portable oxygen concentrator, rental |
26 |
24 |
$544.51 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
13 |
12 |
$523.98 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
28 |
26 |
$318.57 |