| 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 |
61,205 |
58,372 |
$3.99M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,534 |
1,477 |
$925K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
29,152 |
27,631 |
$386K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,850 |
6,104 |
$369K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,720 |
3,463 |
$295K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
2,827 |
2,741 |
$269K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,701 |
1,433 |
$253K |
| A7037 |
Tubing used with positive airway pressure device |
4,717 |
4,460 |
$83K |
| A7035 |
Headgear used with positive airway pressure device |
3,765 |
3,556 |
$72K |
| 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) |
621 |
520 |
$72K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,498 |
1,390 |
$68K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,474 |
2,240 |
$62K |
| E0570 |
Nebulizer, with compressor |
3,447 |
3,228 |
$50K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,214 |
5,789 |
$30K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
887 |
827 |
$26K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,722 |
1,571 |
$16K |
| K0001 |
Standard wheelchair |
1,522 |
1,349 |
$15K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
499 |
474 |
$15K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,737 |
1,612 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
369 |
338 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
505 |
490 |
$2K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
25 |
24 |
$934.69 |
| E1392 |
Portable oxygen concentrator, rental |
27 |
27 |
$743.71 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
25 |
24 |
$0.00 |