| 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 |
13,135 |
13,061 |
$606K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,506 |
4,482 |
$250K |
| 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) |
1,138 |
1,138 |
$180K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
347 |
347 |
$148K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,726 |
5,699 |
$106K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,859 |
5,819 |
$65K |
| A7030 |
Full face mask used with positive airway pressure device, each |
747 |
747 |
$55K |
| A7031 |
Face mask interface, replacement for full face mask, each |
912 |
901 |
$50K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,202 |
2,186 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
1,246 |
1,244 |
$15K |
| A7035 |
Headgear used with positive airway pressure device |
746 |
746 |
$13K |
| E0570 |
Nebulizer, with compressor |
4,126 |
4,100 |
$12K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
190 |
184 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
458 |
453 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
169 |
169 |
$8K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
295 |
294 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
494 |
493 |
$6K |
| K0001 |
Standard wheelchair |
371 |
370 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,234 |
1,150 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
43 |
43 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
247 |
237 |
$235.07 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$38.01 |