| 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 |
27,808 |
24,257 |
$668K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
902 |
797 |
$116K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,351 |
11,665 |
$78K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,517 |
1,374 |
$53K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,682 |
2,453 |
$49K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,022 |
1,831 |
$40K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,587 |
1,416 |
$27K |
| E1392 |
Portable oxygen concentrator, rental |
2,964 |
2,601 |
$24K |
| E0570 |
Nebulizer, with compressor |
3,288 |
3,028 |
$23K |
| K0001 |
Standard wheelchair |
1,941 |
1,755 |
$19K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,598 |
2,329 |
$16K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
530 |
497 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,677 |
4,330 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
1,320 |
1,210 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
383 |
350 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
1,615 |
1,486 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
366 |
332 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
853 |
780 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,367 |
1,243 |
$800.26 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
68 |
64 |
$185.41 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
14 |
13 |
$168.21 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
66 |
63 |
$153.07 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
27 |
26 |
$18.78 |