| 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 |
23,432 |
21,540 |
$935K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,292 |
8,482 |
$354K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
534 |
454 |
$120K |
| 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 |
2,752 |
2,517 |
$103K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,284 |
2,932 |
$73K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,362 |
1,247 |
$65K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,667 |
1,494 |
$42K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,159 |
4,696 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,370 |
1,278 |
$21K |
| A7035 |
Headgear used with positive airway pressure device |
1,510 |
1,376 |
$18K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
555 |
493 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
979 |
926 |
$12K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
825 |
736 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
942 |
870 |
$6K |
| E0570 |
Nebulizer, with compressor |
1,071 |
1,001 |
$4K |
| 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) |
52 |
51 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
270 |
263 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
67 |
63 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
125 |
125 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
32 |
26 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
201 |
194 |
$1K |
| K0001 |
Standard wheelchair |
68 |
64 |
$904.74 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
68 |
58 |
$696.68 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
669 |
609 |
$679.04 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
15 |
14 |
$372.98 |