| 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 |
24,658 |
17,959 |
$865K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,148 |
2,262 |
$146K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,665 |
3,595 |
$129K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,704 |
3,456 |
$125K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,062 |
8,828 |
$96K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,425 |
2,534 |
$69K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,891 |
4,611 |
$56K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
242 |
166 |
$52K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,470 |
1,075 |
$39K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,058 |
859 |
$35K |
| E0570 |
Nebulizer, with compressor |
6,907 |
4,838 |
$28K |
| A7035 |
Headgear used with positive airway pressure device |
2,768 |
2,018 |
$26K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,433 |
5,784 |
$25K |
| E1392 |
Portable oxygen concentrator, rental |
2,494 |
1,727 |
$16K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
591 |
478 |
$15K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,281 |
1,645 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
1,202 |
868 |
$9K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,602 |
1,730 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
190 |
124 |
$1K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
210 |
168 |
$322.64 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
126 |
79 |
$198.96 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
12 |
$90.26 |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
20 |
13 |
$71.37 |
| A7015 |
Aerosol mask, used with dme nebulizer |
53 |
38 |
$28.08 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
19 |
13 |
$4.42 |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
89 |
75 |
$0.00 |
| K0001 |
Standard wheelchair |
137 |
115 |
$0.00 |