| 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 |
35,800 |
31,772 |
$2.22M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,850 |
1,581 |
$883K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,787 |
14,809 |
$218K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,720 |
1,524 |
$104K |
| A7037 |
Tubing used with positive airway pressure device |
4,483 |
4,012 |
$90K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,880 |
1,705 |
$64K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,978 |
5,345 |
$62K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,777 |
1,583 |
$51K |
| A7035 |
Headgear used with positive airway pressure device |
1,987 |
1,784 |
$43K |
| E1392 |
Portable oxygen concentrator, rental |
2,652 |
2,257 |
$39K |
| E0570 |
Nebulizer, with compressor |
3,945 |
3,595 |
$35K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
686 |
636 |
$31K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
981 |
889 |
$30K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
743 |
689 |
$29K |
| 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) |
184 |
165 |
$18K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
533 |
504 |
$13K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
787 |
724 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
300 |
283 |
$10K |
| K0001 |
Standard wheelchair |
188 |
164 |
$6K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
138 |
127 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
90 |
86 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
69 |
62 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
200 |
191 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,467 |
1,337 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
31 |
28 |
$153.71 |