| 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 |
17,188 |
16,535 |
$964K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
643 |
642 |
$208K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,336 |
9,904 |
$123K |
| E0601 |
Continuous positive airway pressure (cpap) device |
936 |
905 |
$44K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,182 |
1,150 |
$22K |
| E0570 |
Nebulizer, with compressor |
4,098 |
4,056 |
$21K |
| E1392 |
Portable oxygen concentrator, rental |
1,701 |
1,648 |
$18K |
| 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) |
106 |
106 |
$13K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
222 |
205 |
$11K |
| K0001 |
Standard wheelchair |
352 |
352 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,041 |
1,020 |
$7K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
261 |
204 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
181 |
178 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
83 |
78 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,305 |
1,260 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
25 |
25 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
31 |
29 |
$962.33 |
| A7030 |
Full face mask used with positive airway pressure device, each |
30 |
30 |
$956.62 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
52 |
52 |
$858.53 |
| A7037 |
Tubing used with positive airway pressure device |
37 |
37 |
$829.29 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
24 |
24 |
$221.22 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$48.02 |