| 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 |
19,081 |
14,062 |
$488K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
487 |
346 |
$106K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,990 |
1,815 |
$101K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,950 |
2,848 |
$59K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,605 |
2,309 |
$45K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,631 |
1,501 |
$45K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,372 |
6,271 |
$44K |
| A7035 |
Headgear used with positive airway pressure device |
2,296 |
2,115 |
$26K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
822 |
760 |
$24K |
| E1392 |
Portable oxygen concentrator, rental |
2,260 |
1,802 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,769 |
3,420 |
$22K |
| E0570 |
Nebulizer, with compressor |
2,024 |
1,692 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
2,281 |
2,073 |
$15K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,741 |
1,606 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,789 |
6,149 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
535 |
483 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
434 |
359 |
$7K |
| K0001 |
Standard wheelchair |
847 |
676 |
$6K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
57 |
53 |
$523.01 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
130 |
111 |
$138.43 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
12 |
$119.05 |