| 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 |
30,365 |
27,913 |
$1.16M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,691 |
2,443 |
$621K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,816 |
6,194 |
$84K |
| 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 |
153 |
137 |
$44K |
| E0570 |
Nebulizer, with compressor |
6,398 |
5,946 |
$35K |
| E0601 |
Continuous positive airway pressure (cpap) device |
708 |
620 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
1,186 |
1,120 |
$10K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
731 |
646 |
$8K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
637 |
486 |
$7K |
| K0001 |
Standard wheelchair |
864 |
810 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
4,714 |
4,217 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
750 |
702 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
170 |
155 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
70 |
67 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
761 |
732 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,492 |
1,226 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
75 |
65 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
133 |
125 |
$842.36 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
27 |
26 |
$88.89 |
| A7015 |
Aerosol mask, used with dme nebulizer |
154 |
135 |
$77.43 |