| 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 |
14,164 |
10,766 |
$734K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
951 |
735 |
$380K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,730 |
3,635 |
$181K |
| 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) |
2,318 |
1,740 |
$177K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,438 |
2,702 |
$166K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,033 |
2,845 |
$77K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,912 |
6,724 |
$71K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
493 |
432 |
$46K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,385 |
1,704 |
$45K |
| E0570 |
Nebulizer, with compressor |
1,976 |
1,522 |
$36K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
879 |
712 |
$36K |
| A7035 |
Headgear used with positive airway pressure device |
2,826 |
2,289 |
$36K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,787 |
2,204 |
$26K |
| A7037 |
Tubing used with positive airway pressure device |
1,176 |
947 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,651 |
4,239 |
$18K |
| K0001 |
Standard wheelchair |
2,307 |
1,683 |
$16K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
710 |
510 |
$15K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,745 |
1,373 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
507 |
419 |
$7K |
| S8120 |
Oxygen contents, gaseous, 1 unit equals 1 cubic foot |
175 |
106 |
$3K |
| K0002 |
Standard hemi (low seat) wheelchair |
299 |
193 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
97 |
80 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
29 |
28 |
$830.83 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
12 |
$164.34 |