| 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 |
6,742 |
5,345 |
$371K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,431 |
3,028 |
$161K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
409 |
329 |
$42K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,656 |
2,016 |
$28K |
| 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) |
192 |
173 |
$22K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,044 |
3,644 |
$20K |
| E1392 |
Portable oxygen concentrator, rental |
2,545 |
2,125 |
$20K |
| E0570 |
Nebulizer, with compressor |
1,184 |
921 |
$11K |
| K0001 |
Standard wheelchair |
983 |
743 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
288 |
239 |
$4K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
15 |
12 |
$2K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
34 |
24 |
$1K |
| A7002 |
Tubing, used with suction pump, each |
16 |
12 |
$17.82 |
| A7035 |
Headgear used with positive airway pressure device |
48 |
38 |
$0.00 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
81 |
64 |
$0.00 |
| A7037 |
Tubing used with positive airway pressure device |
44 |
38 |
$0.00 |