| 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 |
19,033 |
17,531 |
$658K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,416 |
1,291 |
$370K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,324 |
2,211 |
$131K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,022 |
3,827 |
$119K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,378 |
2,265 |
$76K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,558 |
9,708 |
$67K |
| 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) |
473 |
464 |
$47K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,437 |
3,291 |
$38K |
| A7037 |
Tubing used with positive airway pressure device |
2,688 |
2,571 |
$32K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,463 |
5,230 |
$20K |
| A7035 |
Headgear used with positive airway pressure device |
1,531 |
1,459 |
$20K |
| K0001 |
Standard wheelchair |
1,960 |
1,818 |
$19K |
| E0570 |
Nebulizer, with compressor |
3,822 |
3,614 |
$16K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
489 |
467 |
$14K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
2,412 |
2,195 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
1,493 |
1,368 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
832 |
796 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
125 |
120 |
$5K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
761 |
697 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
312 |
265 |
$5K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,305 |
2,089 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
347 |
329 |
$935.23 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
60 |
51 |
$902.53 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
12 |
12 |
$221.19 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
112 |
99 |
$0.00 |