| 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 |
21,324 |
14,811 |
$728K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,803 |
1,893 |
$548K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,790 |
2,782 |
$97K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,823 |
5,737 |
$57K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
908 |
454 |
$27K |
| A7030 |
Full face mask used with positive airway pressure device, each |
680 |
476 |
$19K |
| E0570 |
Nebulizer, with compressor |
2,845 |
2,154 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
788 |
556 |
$8K |
| A7031 |
Face mask interface, replacement for full face mask, each |
900 |
641 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
423 |
311 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
1,870 |
1,300 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
92 |
62 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
231 |
158 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
167 |
153 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
561 |
408 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,901 |
1,567 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
229 |
157 |
$979.88 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,423 |
1,710 |
$955.51 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
62 |
39 |
$835.03 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
250 |
192 |
$686.26 |
| K0001 |
Standard wheelchair |
42 |
40 |
$275.61 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
119 |
93 |
$27.44 |