| 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 |
23,872 |
20,075 |
$462K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,044 |
1,776 |
$73K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,581 |
3,042 |
$60K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,252 |
11,313 |
$57K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
509 |
408 |
$40K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,466 |
3,807 |
$24K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,709 |
1,494 |
$24K |
| E0570 |
Nebulizer, with compressor |
6,479 |
5,612 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
2,461 |
2,019 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
2,766 |
2,409 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
1,926 |
1,665 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
906 |
769 |
$12K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,165 |
951 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,089 |
3,530 |
$8K |
| K0001 |
Standard wheelchair |
945 |
761 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
381 |
333 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
894 |
786 |
$4K |
| 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) |
95 |
76 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
117 |
93 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
608 |
551 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
264 |
241 |
$1K |
| K0003 |
Lightweight wheelchair |
115 |
107 |
$951.36 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
12 |
$151.48 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
226 |
164 |
$128.00 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
334 |
306 |
$87.38 |