| 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 |
26,219 |
22,242 |
$581K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,524 |
3,652 |
$145K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,176 |
6,061 |
$127K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
560 |
517 |
$70K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,458 |
3,699 |
$69K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
1,173 |
971 |
$53K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,368 |
10,390 |
$49K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,202 |
2,684 |
$49K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,602 |
1,286 |
$35K |
| A7037 |
Tubing used with positive airway pressure device |
5,850 |
4,718 |
$30K |
| 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) |
684 |
594 |
$28K |
| A7035 |
Headgear used with positive airway pressure device |
3,996 |
3,222 |
$27K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,206 |
6,697 |
$18K |
| E0570 |
Nebulizer, with compressor |
2,787 |
2,471 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
706 |
563 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,526 |
2,065 |
$10K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,041 |
941 |
$9K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
3,437 |
2,820 |
$8K |
| K0001 |
Standard wheelchair |
1,329 |
1,128 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
254 |
239 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
123 |
110 |
$657.27 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
29 |
24 |
$362.43 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
51 |
50 |
$133.23 |
| E0484 |
Oscillatory positive expiratory pressure device, non-electric, any type, each |
36 |
31 |
$103.22 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
67 |
63 |
$52.29 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
28 |
27 |
$9.59 |