| 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 |
61,693 |
53,419 |
$2.58M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
6,108 |
4,694 |
$1.95M |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
808 |
536 |
$187K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
21,886 |
18,211 |
$175K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,289 |
2,916 |
$113K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,965 |
3,669 |
$108K |
| E0570 |
Nebulizer, with compressor |
5,067 |
3,568 |
$51K |
| A7037 |
Tubing used with positive airway pressure device |
4,482 |
4,144 |
$48K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,044 |
916 |
$44K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,765 |
1,344 |
$34K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,750 |
3,261 |
$32K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,334 |
4,949 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
1,342 |
1,225 |
$17K |
| K0001 |
Standard wheelchair |
1,793 |
1,355 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
394 |
348 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
657 |
602 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
4,398 |
3,224 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
99 |
87 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
248 |
208 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
13 |
$703.46 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
84 |
62 |
$361.34 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
47 |
42 |
$0.00 |