| 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 |
23,835 |
22,822 |
$1.24M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,260 |
2,206 |
$797K |
| A7030 |
Full face mask used with positive airway pressure device, each |
7,036 |
6,872 |
$418K |
| E0601 |
Continuous positive airway pressure (cpap) device |
11,335 |
11,038 |
$378K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
25,800 |
24,528 |
$324K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
6,372 |
6,188 |
$184K |
| A7031 |
Face mask interface, replacement for full face mask, each |
7,189 |
6,990 |
$142K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,241 |
2,191 |
$137K |
| A7035 |
Headgear used with positive airway pressure device |
10,281 |
10,077 |
$104K |
| A7037 |
Tubing used with positive airway pressure device |
11,029 |
10,822 |
$88K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
3,588 |
3,491 |
$69K |
| 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) |
964 |
948 |
$59K |
| A7045 |
Exhalation port with or without swivel used with accessories for positive airway devices, replacement only |
10,794 |
10,385 |
$54K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,142 |
2,093 |
$46K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,811 |
2,727 |
$45K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12,916 |
12,663 |
$33K |
| E0570 |
Nebulizer, with compressor |
1,565 |
1,533 |
$27K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,435 |
1,020 |
$14K |
| K0003 |
Lightweight wheelchair |
897 |
868 |
$14K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
409 |
398 |
$11K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
296 |
285 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
1,142 |
1,096 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
659 |
642 |
$3K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
112 |
106 |
$3K |
| E1355 |
Stand/rack |
116 |
114 |
$1K |
| E1353 |
Regulator |
113 |
102 |
$657.57 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
294 |
288 |
$463.89 |
| A4615 |
Cannula, nasal |
678 |
633 |
$383.84 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
199 |
197 |
$220.40 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
12 |
12 |
$77.07 |