| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,504 |
3,474 |
$1.22M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
22,068 |
21,904 |
$1.17M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,371 |
11,286 |
$116K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,984 |
1,969 |
$64K |
| E0570 |
Nebulizer, with compressor |
4,051 |
3,942 |
$35K |
| A7030 |
Full face mask used with positive airway pressure device, each |
599 |
594 |
$20K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,334 |
2,308 |
$20K |
| A7031 |
Face mask interface, replacement for full face mask, each |
815 |
805 |
$18K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
292 |
291 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
953 |
947 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,601 |
1,567 |
$6K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
756 |
754 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
515 |
512 |
$4K |
| K0003 |
Lightweight wheelchair |
197 |
194 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
874 |
869 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
80 |
80 |
$3K |
| 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) |
39 |
39 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,925 |
1,846 |
$2K |
| K0001 |
Standard wheelchair |
69 |
69 |
$916.06 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
266 |
260 |
$811.70 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
181 |
169 |
$303.60 |
| E0156 |
Seat attachment, walker |
25 |
25 |
$223.78 |
| A7015 |
Aerosol mask, used with dme nebulizer |
224 |
220 |
$137.85 |