| 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 |
21,166 |
19,517 |
$816K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
811 |
780 |
$314K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,772 |
11,926 |
$158K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,220 |
2,152 |
$85K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,129 |
1,060 |
$39K |
| E0570 |
Nebulizer, with compressor |
3,590 |
3,274 |
$33K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,091 |
1,024 |
$24K |
| K0001 |
Standard wheelchair |
1,178 |
1,092 |
$21K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
640 |
605 |
$18K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
678 |
630 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
1,243 |
1,174 |
$15K |
| A7037 |
Tubing used with positive airway pressure device |
1,498 |
1,407 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,161 |
4,886 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
295 |
280 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
572 |
552 |
$6K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
397 |
378 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
96 |
93 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
42 |
40 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
132 |
129 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,065 |
971 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
41 |
38 |
$831.72 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
172 |
167 |
$391.48 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
25 |
24 |
$176.73 |
| A7015 |
Aerosol mask, used with dme nebulizer |
45 |
43 |
$35.66 |