| 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 |
48,782 |
44,638 |
$2.20M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,234 |
1,913 |
$803K |
| 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 |
1,065 |
929 |
$579K |
| E0601 |
Continuous positive airway pressure (cpap) device |
9,426 |
8,422 |
$279K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,125 |
14,611 |
$140K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,068 |
2,768 |
$138K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,706 |
5,038 |
$94K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,936 |
1,775 |
$65K |
| A7037 |
Tubing used with positive airway pressure device |
6,896 |
6,390 |
$55K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,584 |
2,345 |
$51K |
| A7035 |
Headgear used with positive airway pressure device |
3,709 |
3,365 |
$40K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,673 |
3,467 |
$32K |
| E0570 |
Nebulizer, with compressor |
1,734 |
1,450 |
$26K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
934 |
826 |
$21K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,093 |
1,001 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,306 |
6,700 |
$19K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
3,450 |
3,128 |
$13K |
| K0001 |
Standard wheelchair |
1,046 |
932 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
565 |
513 |
$10K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
32 |
31 |
$1K |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
813 |
593 |
$449.61 |
| 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) |
16 |
12 |
$353.51 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
38 |
37 |
$334.53 |