| 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 |
54,593 |
40,568 |
$1.82M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,858 |
1,338 |
$404K |
| A7030 |
Full face mask used with positive airway pressure device, each |
7,705 |
5,654 |
$403K |
| A7031 |
Face mask interface, replacement for full face mask, each |
12,570 |
9,754 |
$356K |
| E0601 |
Continuous positive airway pressure (cpap) device |
10,605 |
8,224 |
$333K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
32,701 |
24,257 |
$231K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
10,447 |
8,076 |
$115K |
| E0570 |
Nebulizer, with compressor |
10,671 |
7,592 |
$81K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,568 |
1,883 |
$70K |
| E1392 |
Portable oxygen concentrator, rental |
7,480 |
5,408 |
$69K |
| A7037 |
Tubing used with positive airway pressure device |
8,202 |
6,003 |
$67K |
| A7035 |
Headgear used with positive airway pressure device |
6,105 |
4,491 |
$65K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,139 |
1,707 |
$62K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
17,460 |
13,561 |
$59K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,653 |
1,321 |
$44K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
4,824 |
3,440 |
$30K |
| 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) |
655 |
420 |
$30K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,086 |
850 |
$24K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
901 |
660 |
$19K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,038 |
1,740 |
$13K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
403 |
324 |
$10K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
762 |
554 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,527 |
2,174 |
$2K |
| K0001 |
Standard wheelchair |
684 |
593 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
237 |
174 |
$782.49 |
| E0156 |
Seat attachment, walker |
52 |
40 |
$288.57 |
| A7015 |
Aerosol mask, used with dme nebulizer |
25 |
24 |
$16.63 |