| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,362 |
2,125 |
$754K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
11,948 |
11,117 |
$493K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,697 |
2,562 |
$85K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,261 |
1,208 |
$83K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,157 |
2,014 |
$76K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,251 |
3,076 |
$41K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,775 |
5,340 |
$40K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
151 |
130 |
$34K |
| E0570 |
Nebulizer, with compressor |
3,099 |
2,960 |
$27K |
| A7037 |
Tubing used with positive airway pressure device |
1,609 |
1,562 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,997 |
3,792 |
$15K |
| A7035 |
Headgear used with positive airway pressure device |
1,006 |
964 |
$14K |
| K0001 |
Standard wheelchair |
1,145 |
1,049 |
$9K |
| 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) |
70 |
65 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
112 |
107 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
384 |
378 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
44 |
41 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
56 |
50 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
238 |
226 |
$786.09 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
84 |
82 |
$606.73 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
995 |
958 |
$404.26 |
| E1392 |
Portable oxygen concentrator, rental |
59 |
49 |
$355.24 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
28 |
28 |
$136.35 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
25 |
25 |
$8.46 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
68 |
56 |
$0.00 |