| 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 |
38,623 |
31,621 |
$728K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,404 |
2,986 |
$125K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,289 |
4,708 |
$96K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14,397 |
11,740 |
$67K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,512 |
3,713 |
$63K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
246 |
197 |
$55K |
| E1392 |
Portable oxygen concentrator, rental |
5,381 |
4,564 |
$39K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,535 |
1,379 |
$32K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,384 |
1,234 |
$30K |
| A7035 |
Headgear used with positive airway pressure device |
3,168 |
2,812 |
$27K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,625 |
4,600 |
$25K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,179 |
1,039 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,310 |
8,343 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
3,551 |
3,135 |
$18K |
| E0570 |
Nebulizer, with compressor |
5,143 |
4,276 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,399 |
2,142 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,051 |
887 |
$11K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
681 |
638 |
$11K |
| K0001 |
Standard wheelchair |
1,365 |
1,174 |
$9K |
| 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) |
166 |
112 |
$6K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
185 |
143 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
324 |
263 |
$847.65 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,105 |
1,680 |
$831.78 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
32 |
27 |
$649.36 |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
285 |
200 |
$609.75 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
29 |
27 |
$9.30 |