| 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 |
29,175 |
25,754 |
$731K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,812 |
8,660 |
$55K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,366 |
1,226 |
$24K |
| E1392 |
Portable oxygen concentrator, rental |
1,646 |
1,500 |
$18K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
292 |
257 |
$17K |
| A7030 |
Full face mask used with positive airway pressure device, each |
462 |
406 |
$15K |
| E0570 |
Nebulizer, with compressor |
3,074 |
2,731 |
$10K |
| E0601 |
Continuous positive airway pressure (cpap) device |
413 |
359 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
1,162 |
1,060 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,392 |
2,182 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
624 |
553 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
170 |
163 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
276 |
237 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,726 |
1,545 |
$676.31 |
| K0001 |
Standard wheelchair |
131 |
120 |
$517.17 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
83 |
75 |
$348.83 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
163 |
145 |
$253.88 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
13 |
12 |
$95.13 |