| 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 |
18,209 |
15,881 |
$1.00M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
900 |
796 |
$320K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,425 |
7,346 |
$82K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,464 |
1,313 |
$81K |
| A7037 |
Tubing used with positive airway pressure device |
4,338 |
3,892 |
$67K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,390 |
1,215 |
$49K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,314 |
4,779 |
$36K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,459 |
1,335 |
$35K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
820 |
723 |
$29K |
| A7035 |
Headgear used with positive airway pressure device |
1,648 |
1,474 |
$25K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
570 |
503 |
$24K |
| 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) |
258 |
217 |
$21K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
418 |
356 |
$17K |
| E0570 |
Nebulizer, with compressor |
1,906 |
1,642 |
$12K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
250 |
232 |
$9K |
| K0001 |
Standard wheelchair |
573 |
519 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
653 |
600 |
$5K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
89 |
84 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
27 |
24 |
$459.29 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
108 |
94 |
$446.43 |
| E1392 |
Portable oxygen concentrator, rental |
42 |
38 |
$253.87 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
25 |
25 |
$224.53 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
36 |
26 |
$24.84 |