| 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 |
5,587 |
4,460 |
$149K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
410 |
292 |
$70K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,201 |
2,648 |
$52K |
| E0601 |
Continuous positive airway pressure (cpap) device |
653 |
586 |
$20K |
| E0570 |
Nebulizer, with compressor |
1,840 |
1,504 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
699 |
622 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
598 |
437 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
495 |
419 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
38 |
25 |
$998.09 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
587 |
490 |
$363.94 |
| A7037 |
Tubing used with positive airway pressure device |
123 |
113 |
$262.40 |
| A7030 |
Full face mask used with positive airway pressure device, each |
100 |
95 |
$241.87 |
| A7031 |
Face mask interface, replacement for full face mask, each |
98 |
89 |
$159.75 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
68 |
61 |
$63.24 |
| K0001 |
Standard wheelchair |
14 |
12 |
$31.18 |
| A7035 |
Headgear used with positive airway pressure device |
94 |
80 |
$21.16 |