| 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 |
31,677 |
29,964 |
$1.03M |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,069 |
3,892 |
$255K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
588 |
528 |
$201K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
17,859 |
16,948 |
$139K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,471 |
4,253 |
$139K |
| A7037 |
Tubing used with positive airway pressure device |
6,914 |
6,689 |
$119K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,712 |
2,596 |
$103K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,328 |
2,218 |
$88K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,973 |
2,832 |
$69K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,899 |
1,833 |
$57K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,481 |
2,307 |
$50K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,148 |
2,044 |
$50K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
11,106 |
10,595 |
$49K |
| E0570 |
Nebulizer, with compressor |
3,921 |
3,683 |
$49K |
| A7035 |
Headgear used with positive airway pressure device |
3,722 |
3,550 |
$43K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,198 |
3,067 |
$22K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,352 |
1,305 |
$16K |
| E1392 |
Portable oxygen concentrator, rental |
1,428 |
1,312 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
279 |
258 |
$8K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
772 |
659 |
$7K |
| 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) |
139 |
135 |
$5K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
74 |
63 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
584 |
569 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,513 |
1,342 |
$1K |
| K0001 |
Standard wheelchair |
113 |
106 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
353 |
288 |
$257.06 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
396 |
321 |
$124.03 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
14 |
13 |
$91.27 |