| 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 |
28,937 |
27,214 |
$1.17M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14,617 |
13,770 |
$213K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
401 |
383 |
$143K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,841 |
2,684 |
$104K |
| 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) |
811 |
735 |
$54K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,748 |
1,576 |
$53K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,600 |
1,468 |
$51K |
| K0001 |
Standard wheelchair |
2,206 |
1,970 |
$41K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,499 |
1,370 |
$35K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,891 |
1,724 |
$35K |
| E0570 |
Nebulizer, with compressor |
2,266 |
2,052 |
$25K |
| E1392 |
Portable oxygen concentrator, rental |
2,422 |
2,180 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,770 |
1,638 |
$21K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,537 |
1,391 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,443 |
5,983 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
688 |
639 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
317 |
295 |
$6K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
160 |
134 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
250 |
227 |
$631.38 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
54 |
50 |
$391.79 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
12 |
12 |
$226.20 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
143 |
131 |
$158.40 |