| 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 |
5,986 |
5,147 |
$205K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
664 |
510 |
$184K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,942 |
1,588 |
$49K |
| A7030 |
Full face mask used with positive airway pressure device, each |
899 |
757 |
$38K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,015 |
4,316 |
$37K |
| E0601 |
Continuous positive airway pressure (cpap) device |
859 |
720 |
$23K |
| A7037 |
Tubing used with positive airway pressure device |
2,166 |
1,713 |
$22K |
| E0570 |
Nebulizer, with compressor |
738 |
671 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,435 |
1,194 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,070 |
2,509 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
619 |
510 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
183 |
160 |
$5K |
| K0001 |
Standard wheelchair |
455 |
390 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
435 |
358 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
64 |
49 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
77 |
56 |
$732.43 |
| K0003 |
Lightweight wheelchair |
52 |
52 |
$336.30 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
17 |
12 |
$332.47 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
34 |
26 |
$13.29 |
| A7015 |
Aerosol mask, used with dme nebulizer |
18 |
12 |
$8.88 |