| 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 |
13,032 |
12,135 |
$610K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
722 |
652 |
$288K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
1,067 |
836 |
$106K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,792 |
1,748 |
$65K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,683 |
2,503 |
$41K |
| A7030 |
Full face mask used with positive airway pressure device, each |
662 |
624 |
$35K |
| E1392 |
Portable oxygen concentrator, rental |
1,799 |
1,772 |
$29K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,130 |
2,016 |
$26K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
618 |
590 |
$24K |
| 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) |
369 |
360 |
$22K |
| A7031 |
Face mask interface, replacement for full face mask, each |
673 |
632 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
117 |
114 |
$15K |
| A7037 |
Tubing used with positive airway pressure device |
1,228 |
1,169 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
1,076 |
1,034 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,694 |
1,598 |
$10K |
| E0570 |
Nebulizer, with compressor |
93 |
92 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
137 |
131 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
574 |
555 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
170 |
168 |
$4K |
| K0001 |
Standard wheelchair |
101 |
99 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
71 |
69 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
63 |
63 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
107 |
105 |
$100.81 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
57 |
57 |
$26.12 |