| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,761 |
1,571 |
$737K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
11,173 |
10,243 |
$401K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,097 |
2,016 |
$76K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,962 |
3,584 |
$44K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
964 |
871 |
$20K |
| E0570 |
Nebulizer, with compressor |
1,695 |
1,512 |
$18K |
| A7030 |
Full face mask used with positive airway pressure device, each |
332 |
310 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
695 |
638 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
1,090 |
1,002 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,593 |
3,325 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
407 |
380 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
367 |
331 |
$4K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
66 |
51 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
90 |
79 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
142 |
133 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
95 |
78 |
$919.65 |
| 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) |
13 |
12 |
$712.05 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
24 |
24 |
$498.63 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
51 |
39 |
$357.94 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
15 |
12 |
$209.93 |
| K0001 |
Standard wheelchair |
13 |
12 |
$142.56 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
61 |
51 |
$55.78 |