| 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 |
39,081 |
23,789 |
$1.34M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,314 |
734 |
$262K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
2,190 |
1,394 |
$241K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
21,468 |
13,097 |
$125K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,818 |
1,168 |
$69K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,828 |
1,714 |
$59K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,093 |
1,384 |
$48K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,377 |
2,040 |
$22K |
| E0570 |
Nebulizer, with compressor |
4,361 |
2,749 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
2,703 |
1,738 |
$20K |
| E1392 |
Portable oxygen concentrator, rental |
1,421 |
914 |
$16K |
| K0001 |
Standard wheelchair |
2,263 |
1,433 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,730 |
3,368 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
1,499 |
1,008 |
$13K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
709 |
467 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
137 |
88 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
95 |
53 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,857 |
1,289 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
33 |
26 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
226 |
174 |
$650.93 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
42 |
30 |
$614.28 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
165 |
145 |
$229.48 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
24 |
12 |
$25.36 |