| 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 |
41,498 |
37,522 |
$1.81M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,500 |
2,991 |
$1.13M |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,853 |
3,512 |
$93K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,946 |
9,628 |
$84K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,301 |
1,987 |
$76K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,159 |
984 |
$41K |
| A7037 |
Tubing used with positive airway pressure device |
4,284 |
3,822 |
$38K |
| E1392 |
Portable oxygen concentrator, rental |
1,985 |
1,750 |
$26K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,589 |
2,232 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,481 |
4,864 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
1,526 |
1,279 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
333 |
296 |
$10K |
| 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 |
34 |
24 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
990 |
859 |
$7K |
| E0570 |
Nebulizer, with compressor |
1,139 |
898 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
94 |
72 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
326 |
235 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
45 |
39 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,884 |
1,555 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
18 |
14 |
$355.58 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$202.51 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
52 |
44 |
$168.06 |
| K0001 |
Standard wheelchair |
16 |
12 |
$153.49 |