| 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 |
22,084 |
18,516 |
$459K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,787 |
7,569 |
$45K |
| A7031 |
Face mask interface, replacement for full face mask, each |
888 |
822 |
$13K |
| E0570 |
Nebulizer, with compressor |
3,050 |
2,583 |
$11K |
| E0601 |
Continuous positive airway pressure (cpap) device |
353 |
334 |
$5K |
| A7030 |
Full face mask used with positive airway pressure device, each |
147 |
135 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,087 |
1,924 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
643 |
584 |
$3K |
| K0001 |
Standard wheelchair |
301 |
255 |
$2K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
13 |
12 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
363 |
348 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
170 |
150 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,893 |
1,543 |
$779.02 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
64 |
60 |
$755.79 |
| E1392 |
Portable oxygen concentrator, rental |
350 |
261 |
$711.31 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
41 |
41 |
$507.08 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
26 |
26 |
$397.66 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
40 |
38 |
$133.43 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
16 |
14 |
$35.75 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
34 |
24 |
$8.30 |