| 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 |
9,636 |
7,994 |
$634K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,736 |
3,397 |
$181K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
108 |
89 |
$40K |
| 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) |
315 |
278 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,498 |
6,178 |
$31K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,762 |
2,557 |
$26K |
| E0570 |
Nebulizer, with compressor |
2,103 |
1,644 |
$14K |
| K0003 |
Lightweight wheelchair |
1,460 |
1,247 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
458 |
424 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
317 |
269 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
12 |
$333.53 |
| K0001 |
Standard wheelchair |
55 |
39 |
$293.99 |
| A7030 |
Full face mask used with positive airway pressure device, each |
115 |
88 |
$175.83 |
| A7037 |
Tubing used with positive airway pressure device |
303 |
243 |
$90.06 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
22 |
18 |
$62.49 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
467 |
346 |
$46.76 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
48 |
40 |
$7.94 |
| A7035 |
Headgear used with positive airway pressure device |
148 |
118 |
$4.64 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
20 |
16 |
$1.70 |
| A7031 |
Face mask interface, replacement for full face mask, each |
90 |
68 |
$0.00 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
19 |
14 |
$0.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
44 |
37 |
$0.00 |