| 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 |
35,355 |
31,083 |
$1.97M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,932 |
2,469 |
$727K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14,814 |
12,941 |
$158K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,884 |
1,710 |
$103K |
| 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 |
501 |
392 |
$84K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,719 |
2,386 |
$79K |
| A7037 |
Tubing used with positive airway pressure device |
4,756 |
4,329 |
$76K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,034 |
1,842 |
$44K |
| E0570 |
Nebulizer, with compressor |
5,820 |
5,209 |
$42K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,135 |
5,596 |
$41K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,354 |
1,171 |
$36K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,601 |
1,397 |
$36K |
| A7035 |
Headgear used with positive airway pressure device |
1,920 |
1,718 |
$29K |
| K0003 |
Lightweight wheelchair |
1,006 |
859 |
$18K |
| E1392 |
Portable oxygen concentrator, rental |
1,291 |
1,146 |
$16K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
303 |
277 |
$12K |
| 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 |
265 |
243 |
$9K |
| K0001 |
Standard wheelchair |
539 |
449 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
177 |
161 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
682 |
625 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
49 |
48 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,178 |
1,020 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
127 |
112 |
$658.08 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
39 |
37 |
$545.85 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
14 |
12 |
$343.70 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
270 |
243 |
$230.56 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
33 |
33 |
$73.70 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
85 |
78 |
$27.47 |