| 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 |
55,714 |
33,184 |
$1.86M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,699 |
885 |
$279K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
22,212 |
13,496 |
$115K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,622 |
1,777 |
$95K |
| E1392 |
Portable oxygen concentrator, rental |
7,014 |
4,296 |
$69K |
| 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) |
1,341 |
822 |
$67K |
| E0570 |
Nebulizer, with compressor |
6,491 |
4,203 |
$65K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,543 |
1,771 |
$55K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,205 |
1,390 |
$44K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,897 |
1,233 |
$39K |
| K0001 |
Standard wheelchair |
3,113 |
2,000 |
$23K |
| A7037 |
Tubing used with positive airway pressure device |
2,681 |
1,793 |
$19K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,391 |
884 |
$19K |
| A7035 |
Headgear used with positive airway pressure device |
2,188 |
1,501 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,258 |
3,868 |
$15K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
409 |
312 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
283 |
184 |
$5K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,486 |
2,619 |
$3K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
71 |
37 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
487 |
374 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
327 |
237 |
$740.85 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
34 |
26 |
$565.02 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
15 |
13 |
$402.44 |
| A7015 |
Aerosol mask, used with dme nebulizer |
121 |
85 |
$243.12 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
55 |
39 |
$235.88 |