| 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 |
43,464 |
38,467 |
$2.68M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
4,797 |
4,097 |
$1.26M |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
9,460 |
8,952 |
$416K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,952 |
7,427 |
$407K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
6,992 |
6,550 |
$380K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,768 |
3,446 |
$306K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
28,440 |
24,916 |
$300K |
| A7031 |
Face mask interface, replacement for full face mask, each |
7,096 |
6,626 |
$262K |
| A7037 |
Tubing used with positive airway pressure device |
8,013 |
7,487 |
$149K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
4,890 |
4,637 |
$148K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
21,892 |
20,607 |
$126K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
8,346 |
7,819 |
$120K |
| A7035 |
Headgear used with positive airway pressure device |
6,262 |
5,803 |
$111K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,927 |
2,712 |
$85K |
| E0570 |
Nebulizer, with compressor |
6,209 |
5,507 |
$72K |
| E1392 |
Portable oxygen concentrator, rental |
4,533 |
4,047 |
$67K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
4,834 |
4,498 |
$41K |
| 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) |
349 |
333 |
$32K |
| K0001 |
Standard wheelchair |
1,155 |
996 |
$18K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
470 |
409 |
$14K |
| 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 |
27 |
25 |
$14K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,963 |
1,359 |
$10K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,196 |
1,098 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,033 |
2,571 |
$6K |
| A7036 |
Chinstrap used with positive airway pressure device |
67 |
65 |
$600.74 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
14 |
12 |
$340.14 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
135 |
106 |
$289.04 |