| 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 |
22,489 |
20,744 |
$909K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
934 |
811 |
$397K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,799 |
1,704 |
$119K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,509 |
10,577 |
$115K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,176 |
2,053 |
$68K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,715 |
2,525 |
$66K |
| E0570 |
Nebulizer, with compressor |
5,125 |
4,551 |
$65K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,064 |
1,830 |
$63K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,413 |
1,325 |
$54K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,234 |
1,136 |
$43K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,661 |
1,463 |
$30K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,395 |
5,076 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,884 |
1,766 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
1,985 |
1,843 |
$17K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,339 |
1,257 |
$9K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
882 |
775 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
232 |
221 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
248 |
241 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,771 |
1,591 |
$3K |
| K0001 |
Standard wheelchair |
79 |
77 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
12 |
12 |
$345.55 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$306.18 |
| A7014 |
Filter, nondisposable, used with aerosol compressor or ultrasonic generator |
96 |
80 |
$167.68 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
340 |
306 |
$135.35 |