| 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 |
24,457 |
22,445 |
$964K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,952 |
2,614 |
$799K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
15,702 |
14,324 |
$103K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,297 |
2,195 |
$63K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,194 |
1,145 |
$63K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,435 |
1,336 |
$40K |
| E0570 |
Nebulizer, with compressor |
4,832 |
4,523 |
$25K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,089 |
1,953 |
$22K |
| K0001 |
Standard wheelchair |
2,277 |
2,132 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
1,572 |
1,504 |
$15K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
91 |
91 |
$12K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
806 |
728 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,261 |
3,102 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
1,809 |
1,693 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
753 |
678 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
621 |
602 |
$7K |
| 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) |
47 |
44 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,413 |
2,183 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
207 |
200 |
$1K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
24 |
24 |
$701.64 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
14 |
14 |
$51.72 |