| 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 |
16,175 |
15,632 |
$854K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,180 |
2,153 |
$125K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,830 |
1,598 |
$120K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,418 |
3,391 |
$113K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,860 |
3,778 |
$111K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,846 |
8,645 |
$106K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,881 |
1,851 |
$69K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,989 |
1,957 |
$62K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,786 |
2,743 |
$48K |
| E1392 |
Portable oxygen concentrator, rental |
1,794 |
1,757 |
$44K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,747 |
1,735 |
$42K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
606 |
563 |
$42K |
| A7037 |
Tubing used with positive airway pressure device |
2,862 |
2,823 |
$40K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
489 |
483 |
$39K |
| A7035 |
Headgear used with positive airway pressure device |
2,766 |
2,723 |
$38K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
592 |
548 |
$33K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,821 |
7,684 |
$32K |
| G0249 |
Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests |
198 |
191 |
$31K |
| E0570 |
Nebulizer, with compressor |
5,441 |
5,335 |
$24K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
665 |
653 |
$18K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,069 |
2,057 |
$17K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
175 |
151 |
$8K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
135 |
135 |
$4K |
| K0001 |
Standard wheelchair |
344 |
343 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,795 |
1,688 |
$3K |
| 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) |
50 |
49 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
301 |
295 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
277 |
265 |
$1K |
| E0776 |
Iv pole |
366 |
359 |
$381.72 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
64 |
43 |
$23.19 |