| 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 |
15,792 |
14,432 |
$551K |
| 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 |
3,536 |
3,247 |
$131K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,325 |
4,852 |
$109K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,115 |
3,737 |
$91K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,236 |
1,121 |
$57K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,039 |
1,820 |
$55K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,032 |
1,844 |
$40K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,805 |
4,371 |
$20K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,391 |
1,262 |
$19K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
44 |
40 |
$17K |
| E0570 |
Nebulizer, with compressor |
3,392 |
3,069 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
1,148 |
1,047 |
$13K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
558 |
501 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
94 |
87 |
$2K |
| K0001 |
Standard wheelchair |
148 |
124 |
$1K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
62 |
52 |
$693.93 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
425 |
371 |
$437.08 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
12 |
12 |
$217.50 |
| A7037 |
Tubing used with positive airway pressure device |
13 |
13 |
$196.56 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
12 |
$33.58 |