| 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 |
15,288 |
13,104 |
$384K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
987 |
864 |
$312K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,160 |
3,753 |
$137K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,441 |
8,117 |
$81K |
| 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) |
1,248 |
1,056 |
$80K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,128 |
1,817 |
$62K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,820 |
2,348 |
$59K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,618 |
2,184 |
$37K |
| K0001 |
Standard wheelchair |
1,667 |
1,456 |
$26K |
| A7035 |
Headgear used with positive airway pressure device |
2,028 |
1,746 |
$21K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
919 |
782 |
$20K |
| E0570 |
Nebulizer, with compressor |
2,392 |
1,934 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
2,819 |
2,389 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,957 |
6,129 |
$12K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
439 |
381 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
261 |
209 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
215 |
156 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
165 |
139 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
450 |
373 |
$635.43 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
79 |
65 |
$297.36 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
13 |
12 |
$108.78 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
95 |
79 |
$77.20 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$20.61 |