| 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 |
19,172 |
15,760 |
$761K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,597 |
5,472 |
$286K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,488 |
5,608 |
$173K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,095 |
2,671 |
$163K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
775 |
677 |
$150K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,713 |
4,183 |
$119K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,593 |
10,129 |
$109K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,151 |
1,899 |
$90K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,210 |
1,873 |
$89K |
| E0570 |
Nebulizer, with compressor |
5,601 |
4,207 |
$67K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
7,241 |
5,994 |
$63K |
| A7035 |
Headgear used with positive airway pressure device |
4,046 |
3,581 |
$51K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12,023 |
10,106 |
$40K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,253 |
1,079 |
$33K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
832 |
736 |
$32K |
| A7037 |
Tubing used with positive airway pressure device |
1,780 |
1,563 |
$23K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,987 |
2,705 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
3,519 |
2,926 |
$21K |
| 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) |
424 |
340 |
$21K |
| K0001 |
Standard wheelchair |
1,234 |
864 |
$18K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
583 |
405 |
$14K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
433 |
381 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
219 |
186 |
$755.58 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
499 |
430 |
$293.01 |
| A7015 |
Aerosol mask, used with dme nebulizer |
283 |
251 |
$173.58 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
247 |
214 |
$54.28 |