| 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 |
24,161 |
22,932 |
$908K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,900 |
1,755 |
$446K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,597 |
8,995 |
$106K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,736 |
2,539 |
$96K |
| 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) |
734 |
695 |
$42K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,495 |
1,414 |
$41K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,741 |
1,620 |
$34K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,664 |
1,502 |
$29K |
| A7037 |
Tubing used with positive airway pressure device |
2,296 |
2,148 |
$19K |
| A7035 |
Headgear used with positive airway pressure device |
1,692 |
1,602 |
$19K |
| E0570 |
Nebulizer, with compressor |
2,216 |
2,074 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,966 |
5,571 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
597 |
553 |
$12K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
458 |
435 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
209 |
196 |
$3K |
| K0001 |
Standard wheelchair |
120 |
105 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
75 |
64 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
214 |
206 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
254 |
237 |
$621.15 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
26 |
24 |
$308.03 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
382 |
323 |
$299.91 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
15 |
14 |
$52.99 |