| 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 |
7,620 |
6,488 |
$293K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,879 |
2,445 |
$102K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
101 |
93 |
$47K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,172 |
4,346 |
$28K |
| A7030 |
Full face mask used with positive airway pressure device, each |
590 |
478 |
$23K |
| K0003 |
Lightweight wheelchair |
1,314 |
1,155 |
$23K |
| 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) |
197 |
150 |
$14K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,053 |
907 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
1,592 |
1,275 |
$12K |
| E0570 |
Nebulizer, with compressor |
2,385 |
2,002 |
$12K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
109 |
100 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
775 |
600 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
336 |
231 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,262 |
1,594 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
237 |
149 |
$3K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
79 |
66 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
69 |
38 |
$750.26 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
145 |
107 |
$680.15 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
268 |
169 |
$552.02 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
17 |
12 |
$337.63 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
28 |
25 |
$285.25 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
416 |
364 |
$266.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
18 |
12 |
$0.00 |