| 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 |
14,428 |
11,964 |
$425K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
863 |
704 |
$177K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,882 |
4,656 |
$88K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,969 |
2,322 |
$58K |
| 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) |
1,664 |
1,238 |
$58K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
201 |
147 |
$52K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,215 |
1,756 |
$38K |
| A7037 |
Tubing used with positive airway pressure device |
5,160 |
3,986 |
$37K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,976 |
6,473 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
3,057 |
2,444 |
$29K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,530 |
3,974 |
$24K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,362 |
1,884 |
$16K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,536 |
1,214 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
357 |
242 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
1,730 |
1,443 |
$12K |
| E0570 |
Nebulizer, with compressor |
2,550 |
2,183 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,790 |
1,431 |
$6K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
192 |
179 |
$4K |
| K0003 |
Lightweight wheelchair |
251 |
231 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,282 |
1,842 |
$3K |
| A7000 |
Canister, disposable, used with suction pump, each |
27 |
13 |
$1K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
76 |
60 |
$630.79 |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
24 |
13 |
$197.82 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
406 |
265 |
$48.06 |