| 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 |
45,729 |
42,386 |
$1.85M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,278 |
2,167 |
$992K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
28,220 |
26,267 |
$377K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,003 |
2,818 |
$124K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,489 |
3,173 |
$107K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,072 |
3,810 |
$84K |
| 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) |
877 |
755 |
$62K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,444 |
2,287 |
$48K |
| E0570 |
Nebulizer, with compressor |
4,269 |
3,966 |
$42K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,407 |
1,280 |
$41K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,694 |
1,597 |
$38K |
| E1392 |
Portable oxygen concentrator, rental |
2,872 |
2,702 |
$38K |
| A7035 |
Headgear used with positive airway pressure device |
2,886 |
2,711 |
$32K |
| A7037 |
Tubing used with positive airway pressure device |
3,467 |
3,264 |
$30K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,012 |
964 |
$27K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,574 |
8,859 |
$24K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,062 |
1,004 |
$23K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,084 |
1,028 |
$20K |
| K0001 |
Standard wheelchair |
1,000 |
926 |
$20K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
110 |
83 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,601 |
1,510 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,372 |
1,242 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$159.37 |