| 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 |
25,201 |
18,891 |
$1.03M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,187 |
905 |
$525K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
17,700 |
13,500 |
$157K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,557 |
1,140 |
$88K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,312 |
1,769 |
$86K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,614 |
1,173 |
$40K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,180 |
1,638 |
$20K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
418 |
282 |
$19K |
| E0570 |
Nebulizer, with compressor |
3,438 |
2,565 |
$18K |
| A7037 |
Tubing used with positive airway pressure device |
1,599 |
1,238 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,364 |
2,742 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
1,049 |
799 |
$10K |
| K0001 |
Standard wheelchair |
362 |
306 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
584 |
444 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
109 |
78 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
77 |
50 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
43 |
38 |
$683.71 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
14 |
$458.71 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
514 |
458 |
$414.44 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
30 |
26 |
$240.61 |
| E1392 |
Portable oxygen concentrator, rental |
27 |
24 |
$0.00 |