| 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 |
12,558 |
11,987 |
$617K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,133 |
6,867 |
$102K |
| E1392 |
Portable oxygen concentrator, rental |
1,816 |
1,740 |
$21K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
116 |
115 |
$10K |
| E0601 |
Continuous positive airway pressure (cpap) device |
225 |
199 |
$7K |
| E0570 |
Nebulizer, with compressor |
1,999 |
1,869 |
$7K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
195 |
176 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
85 |
81 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
143 |
141 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
436 |
425 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
43 |
43 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
27 |
26 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
87 |
66 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
61 |
60 |
$1K |
| K0001 |
Standard wheelchair |
71 |
64 |
$994.04 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
756 |
672 |
$768.16 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
33 |
29 |
$613.98 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
163 |
160 |
$605.03 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
27 |
24 |
$458.97 |