| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,144 |
2,841 |
$772K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
16,333 |
14,701 |
$547K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,122 |
9,019 |
$132K |
| E0601 |
Continuous positive airway pressure (cpap) device |
859 |
743 |
$19K |
| E0570 |
Nebulizer, with compressor |
4,048 |
3,710 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
889 |
775 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,747 |
1,367 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
144 |
129 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
373 |
333 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
73 |
65 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,249 |
2,011 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
56 |
51 |
$994.60 |
| K0001 |
Standard wheelchair |
160 |
157 |
$833.63 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
57 |
53 |
$784.59 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
140 |
130 |
$740.12 |
| A7035 |
Headgear used with positive airway pressure device |
43 |
39 |
$345.47 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$231.87 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
29 |
26 |
$169.03 |
| A7037 |
Tubing used with positive airway pressure device |
14 |
12 |
$147.14 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
13 |
12 |
$49.98 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
28 |
26 |
$8.38 |
| A7015 |
Aerosol mask, used with dme nebulizer |
16 |
14 |
$7.01 |