| 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 |
34,278 |
26,329 |
$879K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,336 |
918 |
$395K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,297 |
2,965 |
$169K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,429 |
3,988 |
$98K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,347 |
3,336 |
$92K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,159 |
12,748 |
$91K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,787 |
2,609 |
$81K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
710 |
454 |
$62K |
| 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) |
1,022 |
714 |
$39K |
| A7035 |
Headgear used with positive airway pressure device |
3,218 |
2,921 |
$37K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,183 |
4,742 |
$35K |
| E1392 |
Portable oxygen concentrator, rental |
3,717 |
3,014 |
$35K |
| E0570 |
Nebulizer, with compressor |
3,773 |
2,940 |
$32K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
671 |
610 |
$20K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,263 |
2,061 |
$18K |
| A7037 |
Tubing used with positive airway pressure device |
2,706 |
2,404 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,569 |
8,236 |
$18K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,024 |
832 |
$16K |
| K0001 |
Standard wheelchair |
1,387 |
1,182 |
$10K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
465 |
419 |
$8K |
| B9998 |
Noc for enteral supplies |
39 |
26 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
360 |
253 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,076 |
1,673 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
13 |
12 |
$354.97 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
97 |
88 |
$325.65 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
15 |
13 |
$124.88 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
12 |
$48.42 |