| 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 |
44,025 |
38,899 |
$1.54M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,962 |
1,699 |
$809K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
22,169 |
19,935 |
$280K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,998 |
4,535 |
$165K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,500 |
2,188 |
$89K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,213 |
2,748 |
$64K |
| E0570 |
Nebulizer, with compressor |
4,165 |
3,563 |
$51K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,077 |
2,652 |
$48K |
| E1392 |
Portable oxygen concentrator, rental |
3,979 |
3,491 |
$43K |
| A7035 |
Headgear used with positive airway pressure device |
2,906 |
2,595 |
$34K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,739 |
1,549 |
$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) |
441 |
390 |
$31K |
| A7037 |
Tubing used with positive airway pressure device |
3,611 |
3,198 |
$30K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
650 |
554 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,620 |
8,692 |
$19K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,027 |
904 |
$14K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
872 |
779 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
294 |
253 |
$7K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
470 |
406 |
$6K |
| K0001 |
Standard wheelchair |
317 |
273 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
189 |
167 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,393 |
1,213 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
110 |
88 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
851 |
716 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
130 |
116 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
47 |
40 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
16 |
14 |
$15.52 |