| 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 |
14,123 |
13,063 |
$518K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
788 |
736 |
$405K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,589 |
4,280 |
$140K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,633 |
2,416 |
$101K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,682 |
2,981 |
$64K |
| 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) |
933 |
875 |
$62K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,769 |
7,127 |
$62K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,163 |
2,023 |
$54K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,882 |
4,589 |
$47K |
| E0570 |
Nebulizer, with compressor |
1,325 |
1,192 |
$36K |
| A7035 |
Headgear used with positive airway pressure device |
2,591 |
2,407 |
$27K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
618 |
578 |
$20K |
| E1392 |
Portable oxygen concentrator, rental |
1,320 |
1,175 |
$18K |
| K0001 |
Standard wheelchair |
1,760 |
1,625 |
$15K |
| A7037 |
Tubing used with positive airway pressure device |
1,906 |
1,748 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,111 |
4,250 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,431 |
1,315 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
132 |
121 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
63 |
53 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
99 |
92 |
$839.63 |