| 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 |
28,015 |
26,946 |
$777K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,680 |
2,646 |
$297K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,491 |
2,384 |
$76K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,789 |
13,340 |
$75K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,902 |
2,771 |
$74K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,502 |
2,397 |
$39K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,000 |
957 |
$31K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,565 |
1,503 |
$28K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,120 |
1,072 |
$28K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,126 |
2,992 |
$19K |
| E1392 |
Portable oxygen concentrator, rental |
4,927 |
4,667 |
$17K |
| E0570 |
Nebulizer, with compressor |
5,477 |
5,162 |
$15K |
| 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) |
515 |
491 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,023 |
4,798 |
$15K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,757 |
1,742 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
2,317 |
2,227 |
$12K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
470 |
453 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
2,274 |
2,174 |
$12K |
| K0001 |
Standard wheelchair |
1,119 |
1,043 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,867 |
1,774 |
$6K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
783 |
684 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,585 |
1,501 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
313 |
297 |
$611.76 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
121 |
119 |
$442.42 |