| 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 |
22,351 |
14,055 |
$845K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,055 |
1,110 |
$292K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,522 |
7,432 |
$75K |
| A7031 |
Face mask interface, replacement for full face mask, each |
882 |
671 |
$29K |
| E1392 |
Portable oxygen concentrator, rental |
2,429 |
1,556 |
$29K |
| E0601 |
Continuous positive airway pressure (cpap) device |
986 |
698 |
$28K |
| A7030 |
Full face mask used with positive airway pressure device, each |
438 |
308 |
$25K |
| E0570 |
Nebulizer, with compressor |
4,315 |
2,957 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,611 |
1,108 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,708 |
2,083 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
639 |
465 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
415 |
301 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
108 |
81 |
$5K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
29 |
24 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
73 |
58 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
361 |
255 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
34 |
24 |
$702.67 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,197 |
893 |
$470.63 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
21 |
12 |
$179.75 |
| K0001 |
Standard wheelchair |
61 |
37 |
$178.84 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
164 |
105 |
$56.71 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
17 |
12 |
$12.41 |