| 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 |
85,193 |
77,316 |
$8.08M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
5,966 |
5,576 |
$2.99M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
65,333 |
59,665 |
$1.09M |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,621 |
5,032 |
$280K |
| 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) |
1,113 |
983 |
$168K |
| E1392 |
Portable oxygen concentrator, rental |
9,033 |
8,252 |
$153K |
| E0570 |
Nebulizer, with compressor |
5,938 |
5,739 |
$139K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,914 |
6,177 |
$118K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,736 |
2,411 |
$82K |
| A7030 |
Full face mask used with positive airway pressure device, each |
637 |
591 |
$62K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
729 |
480 |
$54K |
| K0001 |
Standard wheelchair |
999 |
800 |
$41K |
| A7035 |
Headgear used with positive airway pressure device |
1,698 |
1,574 |
$35K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
1,465 |
1,387 |
$27K |
| A7037 |
Tubing used with positive airway pressure device |
1,335 |
1,245 |
$27K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
297 |
274 |
$18K |
| A7031 |
Face mask interface, replacement for full face mask, each |
387 |
368 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,306 |
1,204 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,219 |
2,048 |
$9K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,153 |
2,805 |
$9K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
309 |
273 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
44 |
41 |
$4K |
| A7015 |
Aerosol mask, used with dme nebulizer |
2,842 |
2,548 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
377 |
361 |
$3K |
| K0003 |
Lightweight wheelchair |
37 |
24 |
$2K |
| A7000 |
Canister, disposable, used with suction pump, each |
325 |
264 |
$2K |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
75 |
74 |
$1K |
| A7002 |
Tubing, used with suction pump, each |
144 |
100 |
$398.73 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
14 |
$380.18 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
13 |
12 |
$53.74 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
32 |
24 |
$15.54 |