| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,665 |
2,661 |
$247K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
1,482 |
1,479 |
$35K |
| E0601 |
Continuous positive airway pressure (cpap) device |
613 |
612 |
$14K |
| E0570 |
Nebulizer, with compressor |
1,377 |
1,372 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
629 |
628 |
$5K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,029 |
1,027 |
$5K |
| K0001 |
Standard wheelchair |
357 |
354 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
71 |
43 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
66 |
66 |
$358.96 |
| E1392 |
Portable oxygen concentrator, rental |
37 |
37 |
$231.71 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
103 |
103 |
$198.71 |
| A7031 |
Face mask interface, replacement for full face mask, each |
13 |
13 |
$188.97 |
| A7037 |
Tubing used with positive airway pressure device |
24 |
24 |
$149.17 |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
12 |
12 |
$139.12 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
13 |
13 |
$102.75 |