| 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 |
51,135 |
43,305 |
$1.35M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,150 |
1,908 |
$673K |
| E0601 |
Continuous positive airway pressure (cpap) device |
11,351 |
10,072 |
$349K |
| 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) |
2,611 |
2,284 |
$154K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
19,834 |
16,831 |
$145K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,301 |
3,605 |
$138K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,180 |
1,921 |
$114K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,326 |
4,292 |
$71K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
4,309 |
3,626 |
$70K |
| E1392 |
Portable oxygen concentrator, rental |
9,769 |
8,269 |
$67K |
| A7035 |
Headgear used with positive airway pressure device |
5,912 |
5,021 |
$55K |
| E0570 |
Nebulizer, with compressor |
8,985 |
6,999 |
$52K |
| A7037 |
Tubing used with positive airway pressure device |
6,099 |
5,242 |
$50K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,320 |
2,674 |
$35K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
19,911 |
17,124 |
$33K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,466 |
2,098 |
$25K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,585 |
2,089 |
$24K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,483 |
2,098 |
$9K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,327 |
1,084 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,515 |
2,071 |
$4K |
| K0001 |
Standard wheelchair |
181 |
148 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,402 |
1,841 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
15 |
13 |
$118.02 |