| 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 |
9,952 |
9,614 |
$717K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,560 |
3,446 |
$221K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
496 |
491 |
$175K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,002 |
952 |
$101K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,652 |
6,467 |
$85K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,379 |
1,345 |
$79K |
| A7031 |
Face mask interface, replacement for full face mask, each |
855 |
812 |
$61K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
747 |
728 |
$46K |
| E0570 |
Nebulizer, with compressor |
3,097 |
2,983 |
$35K |
| 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) |
266 |
262 |
$33K |
| A7037 |
Tubing used with positive airway pressure device |
1,440 |
1,377 |
$27K |
| A7035 |
Headgear used with positive airway pressure device |
1,210 |
1,173 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,919 |
1,836 |
$22K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
401 |
391 |
$17K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
151 |
148 |
$14K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
274 |
263 |
$8K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
89 |
86 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
507 |
487 |
$5K |
| K0001 |
Standard wheelchair |
117 |
116 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
421 |
398 |
$3K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
25 |
25 |
$763.01 |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
12 |
12 |
$652.09 |
| E1392 |
Portable oxygen concentrator, rental |
20 |
12 |
$224.15 |
| E0156 |
Seat attachment, walker |
13 |
13 |
$52.56 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
42 |
39 |
$49.54 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
42 |
39 |
$13.45 |