| 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 |
36,924 |
27,991 |
$1.21M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,410 |
2,508 |
$821K |
| A7030 |
Full face mask used with positive airway pressure device, each |
5,208 |
3,902 |
$306K |
| A7031 |
Face mask interface, replacement for full face mask, each |
8,405 |
6,710 |
$267K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,496 |
5,799 |
$244K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
20,774 |
15,290 |
$136K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
7,112 |
5,701 |
$92K |
| E1392 |
Portable oxygen concentrator, rental |
6,635 |
5,075 |
$74K |
| E0570 |
Nebulizer, with compressor |
7,665 |
5,424 |
$72K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,234 |
1,641 |
$69K |
| 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) |
778 |
621 |
$69K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,121 |
1,608 |
$66K |
| A7037 |
Tubing used with positive airway pressure device |
5,525 |
4,091 |
$53K |
| A7035 |
Headgear used with positive airway pressure device |
4,455 |
3,346 |
$53K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12,778 |
10,042 |
$49K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,637 |
1,272 |
$45K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
907 |
727 |
$24K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,307 |
2,494 |
$22K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
683 |
481 |
$8K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
302 |
259 |
$5K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
673 |
580 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
131 |
106 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,216 |
2,713 |
$3K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
104 |
77 |
$2K |
| E0156 |
Seat attachment, walker |
83 |
62 |
$584.87 |
| A7015 |
Aerosol mask, used with dme nebulizer |
655 |
565 |
$421.92 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
66 |
52 |
$272.06 |
| K0001 |
Standard wheelchair |
377 |
350 |
$196.66 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
669 |
574 |
$185.62 |