| 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 |
29,030 |
25,752 |
$610K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,552 |
10,262 |
$56K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,595 |
1,468 |
$50K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,568 |
2,399 |
$45K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,834 |
1,624 |
$29K |
| K0001 |
Standard wheelchair |
2,720 |
2,427 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,321 |
1,190 |
$14K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
212 |
193 |
$13K |
| E0570 |
Nebulizer, with compressor |
4,319 |
3,945 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,091 |
1,826 |
$11K |
| E1392 |
Portable oxygen concentrator, rental |
1,651 |
1,470 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,438 |
4,115 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
2,047 |
1,891 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
1,398 |
1,279 |
$9K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
261 |
236 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
413 |
380 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
303 |
284 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
719 |
658 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
39 |
39 |
$656.57 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,502 |
1,342 |
$544.64 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
138 |
130 |
$346.06 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
29 |
25 |
$63.18 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
19 |
14 |
$52.80 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
46 |
41 |
$7.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
16 |
12 |
$6.07 |