| 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 |
28,477 |
22,036 |
$1.14M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
766 |
512 |
$150K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
17,386 |
13,654 |
$135K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,216 |
907 |
$53K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,764 |
1,389 |
$40K |
| E0570 |
Nebulizer, with compressor |
6,210 |
4,460 |
$39K |
| E0601 |
Continuous positive airway pressure (cpap) device |
793 |
649 |
$25K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,296 |
967 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
702 |
563 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,543 |
3,725 |
$19K |
| A7035 |
Headgear used with positive airway pressure device |
1,624 |
1,220 |
$18K |
| E1392 |
Portable oxygen concentrator, rental |
1,855 |
1,388 |
$15K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
511 |
342 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
904 |
669 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
558 |
380 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,950 |
2,066 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
638 |
365 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
381 |
273 |
$2K |
| K0001 |
Standard wheelchair |
513 |
298 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
105 |
74 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
83 |
68 |
$516.98 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
190 |
110 |
$195.10 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
12 |
$166.20 |
| A7015 |
Aerosol mask, used with dme nebulizer |
120 |
100 |
$72.81 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
27 |
24 |
$7.74 |