| 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 |
29,188 |
22,129 |
$989K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
391 |
346 |
$159K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
18,368 |
13,624 |
$132K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,898 |
1,548 |
$56K |
| A7030 |
Full face mask used with positive airway pressure device, each |
971 |
770 |
$49K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,562 |
1,262 |
$48K |
| E1392 |
Portable oxygen concentrator, rental |
3,206 |
2,417 |
$27K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,921 |
1,547 |
$23K |
| E0570 |
Nebulizer, with compressor |
3,033 |
2,097 |
$18K |
| A7037 |
Tubing used with positive airway pressure device |
1,884 |
1,419 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,798 |
3,058 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
967 |
763 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
213 |
165 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
181 |
145 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
698 |
516 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
100 |
79 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
139 |
105 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
28 |
24 |
$986.14 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
15 |
13 |
$267.16 |
| K0001 |
Standard wheelchair |
608 |
515 |
$96.49 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
59 |
40 |
$35.28 |