| 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 |
18,774 |
17,178 |
$758K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
726 |
641 |
$230K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,452 |
2,288 |
$97K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,252 |
6,667 |
$86K |
| A7030 |
Full face mask used with positive airway pressure device, each |
804 |
712 |
$38K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,124 |
1,042 |
$35K |
| E0570 |
Nebulizer, with compressor |
2,845 |
2,514 |
$27K |
| 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) |
244 |
218 |
$25K |
| A7031 |
Face mask interface, replacement for full face mask, each |
906 |
825 |
$20K |
| A7035 |
Headgear used with positive airway pressure device |
878 |
789 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
1,215 |
1,120 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,296 |
3,960 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
288 |
248 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
274 |
257 |
$6K |
| K0001 |
Standard wheelchair |
285 |
243 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,342 |
1,218 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
30 |
27 |
$806.81 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
12 |
$319.73 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
27 |
26 |
$104.07 |
| E1392 |
Portable oxygen concentrator, rental |
17 |
12 |
$49.58 |
| A7015 |
Aerosol mask, used with dme nebulizer |
14 |
13 |
$9.11 |