| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,759 |
3,318 |
$903K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
20,093 |
18,330 |
$567K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,187 |
5,721 |
$194K |
| 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 |
4,250 |
3,990 |
$108K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,181 |
3,844 |
$71K |
| A7030 |
Full face mask used with positive airway pressure device, each |
947 |
884 |
$50K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,407 |
1,326 |
$39K |
| A7035 |
Headgear used with positive airway pressure device |
2,113 |
1,968 |
$23K |
| A7037 |
Tubing used with positive airway pressure device |
2,012 |
1,899 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
1,739 |
1,648 |
$14K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
123 |
117 |
$14K |
| 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) |
479 |
456 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,941 |
2,742 |
$11K |
| E0570 |
Nebulizer, with compressor |
1,810 |
1,752 |
$8K |
| A7031 |
Face mask interface, replacement for full face mask, each |
463 |
437 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
405 |
372 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
897 |
852 |
$5K |
| K0001 |
Standard wheelchair |
711 |
651 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
171 |
164 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
39 |
38 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
88 |
85 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
12 |
$509.82 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
59 |
53 |
$270.13 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
14 |
13 |
$41.56 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
88 |
79 |
$30.55 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
30 |
25 |
$4.50 |