| 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 |
24,919 |
22,732 |
$770K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
872 |
778 |
$180K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,952 |
11,721 |
$156K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
626 |
569 |
$147K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,406 |
1,257 |
$77K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,639 |
2,248 |
$68K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,942 |
1,667 |
$39K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,025 |
2,585 |
$32K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,253 |
1,109 |
$22K |
| A7037 |
Tubing used with positive airway pressure device |
2,281 |
2,065 |
$18K |
| E0570 |
Nebulizer, with compressor |
5,172 |
4,484 |
$16K |
| K0001 |
Standard wheelchair |
2,232 |
1,959 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
1,458 |
1,317 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
1,422 |
1,270 |
$12K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
628 |
473 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
493 |
459 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,855 |
3,505 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
748 |
680 |
$6K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
227 |
223 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
235 |
185 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,194 |
2,841 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
489 |
459 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
304 |
282 |
$992.75 |
| E1130 |
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
12 |
12 |
$415.13 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
15 |
15 |
$300.94 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
16 |
14 |
$299.09 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
12 |
12 |
$2.79 |