| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
454 |
436 |
$220K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,751 |
4,130 |
$164K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,166 |
2,877 |
$106K |
| 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 |
164 |
153 |
$82K |
| A7030 |
Full face mask used with positive airway pressure device, each |
733 |
655 |
$30K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,342 |
3,044 |
$29K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,630 |
2,280 |
$20K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
725 |
669 |
$16K |
| 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) |
185 |
168 |
$12K |
| A7031 |
Face mask interface, replacement for full face mask, each |
641 |
510 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
881 |
798 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
741 |
646 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
219 |
200 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,352 |
1,148 |
$3K |
| K0001 |
Standard wheelchair |
359 |
313 |
$3K |
| E0570 |
Nebulizer, with compressor |
317 |
275 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
328 |
286 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
253 |
225 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
80 |
63 |
$931.24 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
15 |
13 |
$257.96 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
28 |
27 |
$127.13 |