| 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 |
58,878 |
51,798 |
$2.33M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
4,210 |
3,497 |
$1.09M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
23,645 |
20,897 |
$224K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,770 |
3,385 |
$132K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,012 |
4,406 |
$128K |
| A7037 |
Tubing used with positive airway pressure device |
8,921 |
8,006 |
$113K |
| 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 |
527 |
423 |
$96K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,176 |
3,808 |
$92K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,042 |
3,534 |
$70K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
11,477 |
10,337 |
$68K |
| E0570 |
Nebulizer, with compressor |
8,604 |
7,648 |
$65K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,278 |
2,007 |
$65K |
| 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) |
1,006 |
863 |
$58K |
| A7035 |
Headgear used with positive airway pressure device |
4,163 |
3,738 |
$56K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,023 |
1,739 |
$51K |
| E1392 |
Portable oxygen concentrator, rental |
6,391 |
5,628 |
$51K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,376 |
2,080 |
$50K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,148 |
1,035 |
$21K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,599 |
2,339 |
$21K |
| K0001 |
Standard wheelchair |
1,447 |
1,299 |
$16K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,809 |
1,633 |
$15K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,946 |
1,761 |
$14K |
| K0003 |
Lightweight wheelchair |
716 |
667 |
$12K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
337 |
305 |
$8K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,866 |
2,521 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
77 |
73 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
269 |
233 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
41 |
38 |
$1K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
12 |
$523.96 |
| E0156 |
Seat attachment, walker |
16 |
15 |
$460.96 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
38 |
34 |
$86.08 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
16 |
14 |
$0.00 |