| 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 |
14,898 |
14,151 |
$866K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
598 |
558 |
$344K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
3,442 |
3,262 |
$154K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,241 |
2,007 |
$116K |
| 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 |
4,197 |
3,902 |
$114K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
1,520 |
1,473 |
$113K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
516 |
461 |
$81K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,873 |
3,706 |
$59K |
| A7030 |
Full face mask used with positive airway pressure device, each |
745 |
691 |
$57K |
| 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) |
259 |
239 |
$27K |
| A7031 |
Face mask interface, replacement for full face mask, each |
688 |
634 |
$24K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
833 |
767 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
1,032 |
918 |
$19K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
363 |
336 |
$17K |
| E0570 |
Nebulizer, with compressor |
777 |
745 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
701 |
645 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,427 |
1,314 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
231 |
227 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
342 |
323 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
144 |
141 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
68 |
66 |
$2K |
| K0001 |
Standard wheelchair |
222 |
214 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
91 |
88 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
68 |
65 |
$55.11 |