| 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 |
29,455 |
26,490 |
$1.82M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,655 |
1,447 |
$607K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,068 |
3,720 |
$183K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,712 |
10,392 |
$156K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,067 |
1,874 |
$140K |
| A7037 |
Tubing used with positive airway pressure device |
4,264 |
3,885 |
$85K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,696 |
1,495 |
$71K |
| E0570 |
Nebulizer, with compressor |
4,154 |
3,801 |
$60K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,977 |
7,268 |
$60K |
| 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) |
601 |
535 |
$59K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,103 |
1,908 |
$57K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,711 |
1,532 |
$56K |
| A7035 |
Headgear used with positive airway pressure device |
2,289 |
2,050 |
$44K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
740 |
661 |
$32K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
775 |
694 |
$30K |
| K0001 |
Standard wheelchair |
1,629 |
1,432 |
$27K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
719 |
627 |
$20K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
229 |
202 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
827 |
753 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,551 |
2,307 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
252 |
227 |
$860.47 |