| 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 |
26,274 |
23,337 |
$1.50M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
986 |
863 |
$335K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,759 |
1,541 |
$98K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,609 |
2,233 |
$92K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,654 |
8,648 |
$90K |
| A7037 |
Tubing used with positive airway pressure device |
4,590 |
4,111 |
$73K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,632 |
1,359 |
$47K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,447 |
5,770 |
$41K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,758 |
1,569 |
$40K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
926 |
810 |
$33K |
| A7035 |
Headgear used with positive airway pressure device |
1,849 |
1,635 |
$27K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
936 |
852 |
$27K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
496 |
448 |
$19K |
| E1392 |
Portable oxygen concentrator, rental |
1,688 |
1,512 |
$18K |
| 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) |
273 |
228 |
$17K |
| E0570 |
Nebulizer, with compressor |
1,656 |
1,468 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
745 |
679 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
97 |
91 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
141 |
130 |
$680.81 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
42 |
37 |
$386.09 |
| K0001 |
Standard wheelchair |
14 |
12 |
$111.39 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
97 |
80 |
$82.42 |
| A7000 |
Canister, disposable, used with suction pump, each |
27 |
14 |
$26.59 |
| A7002 |
Tubing, used with suction pump, each |
29 |
12 |
$11.93 |