| 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 |
7,910 |
7,464 |
$338K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,121 |
985 |
$279K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,948 |
4,716 |
$50K |
| E0601 |
Continuous positive airway pressure (cpap) device |
453 |
382 |
$6K |
| E0570 |
Nebulizer, with compressor |
2,056 |
1,874 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
737 |
632 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,310 |
1,167 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
255 |
222 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
66 |
63 |
$466.81 |
| K0001 |
Standard wheelchair |
39 |
38 |
$412.95 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
62 |
53 |
$394.80 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
28 |
26 |
$351.09 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
44 |
40 |
$262.78 |
| A7035 |
Headgear used with positive airway pressure device |
56 |
50 |
$162.02 |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$46.59 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
311 |
276 |
$37.60 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
13 |
12 |
$21.47 |