| 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 |
35,533 |
33,425 |
$2.71M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
4,434 |
4,372 |
$1.22M |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,425 |
5,174 |
$252K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,943 |
16,017 |
$234K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,908 |
2,794 |
$204K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,157 |
5,800 |
$108K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,654 |
2,551 |
$94K |
| 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) |
637 |
633 |
$79K |
| A7037 |
Tubing used with positive airway pressure device |
3,597 |
3,511 |
$52K |
| E0570 |
Nebulizer, with compressor |
4,591 |
4,540 |
$48K |
| A7035 |
Headgear used with positive airway pressure device |
2,703 |
2,630 |
$43K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
973 |
950 |
$40K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,321 |
7,044 |
$37K |
| E1392 |
Portable oxygen concentrator, rental |
2,687 |
2,682 |
$28K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
622 |
596 |
$25K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
933 |
919 |
$24K |
| K0001 |
Standard wheelchair |
930 |
832 |
$19K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,139 |
2,084 |
$18K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,124 |
1,093 |
$12K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
372 |
371 |
$11K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,398 |
2,247 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
95 |
89 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
52 |
52 |
$2K |
| E0271 |
Mattress, innerspring |
17 |
17 |
$709.50 |
| A7015 |
Aerosol mask, used with dme nebulizer |
639 |
613 |
$526.90 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
409 |
392 |
$216.51 |