| 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 |
10,653 |
9,258 |
$529K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
552 |
501 |
$118K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,127 |
5,352 |
$80K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,496 |
1,300 |
$52K |
| A7030 |
Full face mask used with positive airway pressure device, each |
752 |
653 |
$41K |
| E0570 |
Nebulizer, with compressor |
1,843 |
1,642 |
$24K |
| A7037 |
Tubing used with positive airway pressure device |
1,916 |
1,714 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,198 |
1,948 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
907 |
796 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
177 |
157 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
190 |
159 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
337 |
293 |
$6K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
558 |
485 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
104 |
90 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
172 |
151 |
$1K |
| K0001 |
Standard wheelchair |
155 |
136 |
$1K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
38 |
37 |
$954.56 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
26 |
25 |
$29.11 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
16 |
15 |
$0.00 |