| 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 |
44,867 |
27,273 |
$1.66M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,871 |
1,005 |
$401K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,894 |
2,020 |
$137K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
21,743 |
13,110 |
$133K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,168 |
3,174 |
$119K |
| E1392 |
Portable oxygen concentrator, rental |
6,581 |
4,146 |
$79K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,958 |
2,093 |
$74K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,859 |
1,311 |
$50K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,407 |
3,381 |
$43K |
| E0570 |
Nebulizer, with compressor |
8,930 |
5,691 |
$40K |
| A7037 |
Tubing used with positive airway pressure device |
4,105 |
2,901 |
$40K |
| A7035 |
Headgear used with positive airway pressure device |
3,175 |
2,275 |
$34K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,850 |
5,955 |
$26K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
411 |
280 |
$9K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
373 |
260 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
173 |
104 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
331 |
267 |
$2K |
| K0001 |
Standard wheelchair |
332 |
210 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
711 |
522 |
$2K |
| 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) |
31 |
24 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,814 |
1,976 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
105 |
77 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
66 |
41 |
$268.74 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
19 |
15 |
$48.51 |