| 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 |
25,838 |
24,225 |
$1.07M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,805 |
1,746 |
$820K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,689 |
5,387 |
$217K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,263 |
10,522 |
$155K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,345 |
2,212 |
$88K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,751 |
2,537 |
$74K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
185 |
131 |
$70K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,454 |
2,318 |
$57K |
| 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) |
502 |
468 |
$46K |
| A7035 |
Headgear used with positive airway pressure device |
2,510 |
2,373 |
$33K |
| A7037 |
Tubing used with positive airway pressure device |
3,081 |
2,834 |
$28K |
| E0570 |
Nebulizer, with compressor |
2,662 |
2,449 |
$28K |
| E1392 |
Portable oxygen concentrator, rental |
2,534 |
2,400 |
$26K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,351 |
8,770 |
$21K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
896 |
840 |
$20K |
| K0001 |
Standard wheelchair |
522 |
509 |
$11K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
582 |
522 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
473 |
436 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
222 |
200 |
$7K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
271 |
253 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,025 |
1,804 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
600 |
546 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
115 |
108 |
$853.11 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
14 |
13 |
$81.10 |
| A7015 |
Aerosol mask, used with dme nebulizer |
17 |
16 |
$13.95 |