| 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 |
35,679 |
28,220 |
$1.45M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
5,639 |
3,705 |
$1.34M |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
1,127 |
1,028 |
$317K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
22,242 |
17,750 |
$185K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,002 |
2,619 |
$156K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,972 |
1,717 |
$119K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,418 |
1,953 |
$106K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,678 |
3,119 |
$90K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,322 |
1,919 |
$81K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,562 |
2,293 |
$67K |
| A7035 |
Headgear used with positive airway pressure device |
3,407 |
3,024 |
$55K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,681 |
9,887 |
$54K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,981 |
1,649 |
$39K |
| 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 |
154 |
106 |
$36K |
| E0570 |
Nebulizer, with compressor |
6,308 |
4,265 |
$34K |
| 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) |
242 |
213 |
$32K |
| E1392 |
Portable oxygen concentrator, rental |
2,888 |
2,137 |
$32K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,544 |
2,252 |
$21K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,119 |
1,890 |
$13K |
| K0001 |
Standard wheelchair |
777 |
611 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
456 |
397 |
$6K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
260 |
226 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
479 |
348 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,773 |
2,052 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
54 |
41 |
$2K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
97 |
91 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
293 |
188 |
$1K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
74 |
64 |
$783.00 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
120 |
101 |
$39.67 |