| 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 |
33,444 |
25,653 |
$1.28M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,434 |
2,667 |
$893K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,639 |
3,817 |
$321K |
| A7031 |
Face mask interface, replacement for full face mask, each |
8,112 |
6,936 |
$284K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,588 |
6,260 |
$279K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,958 |
12,872 |
$134K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
8,478 |
6,985 |
$116K |
| E0570 |
Nebulizer, with compressor |
8,497 |
6,163 |
$88K |
| 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) |
856 |
687 |
$74K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,810 |
1,488 |
$73K |
| A7035 |
Headgear used with positive airway pressure device |
4,004 |
3,264 |
$56K |
| A7037 |
Tubing used with positive airway pressure device |
4,650 |
3,799 |
$55K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,644 |
1,415 |
$53K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,714 |
1,463 |
$52K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12,401 |
10,538 |
$49K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,193 |
1,041 |
$36K |
| E1392 |
Portable oxygen concentrator, rental |
3,335 |
2,402 |
$35K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,935 |
2,433 |
$25K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
838 |
607 |
$13K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
664 |
413 |
$9K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
486 |
410 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,442 |
2,836 |
$3K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
59 |
37 |
$2K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
193 |
137 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,190 |
992 |
$758.72 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
841 |
694 |
$434.16 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
59 |
51 |
$167.15 |
| A7000 |
Canister, disposable, used with suction pump, each |
18 |
14 |
$146.54 |
| A7002 |
Tubing, used with suction pump, each |
14 |
12 |
$54.66 |
| K0001 |
Standard wheelchair |
90 |
74 |
$0.00 |