| 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 |
66,871 |
61,070 |
$3.12M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
4,208 |
3,439 |
$1.17M |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,801 |
3,962 |
$137K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,817 |
4,206 |
$114K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,624 |
9,327 |
$82K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,595 |
1,360 |
$61K |
| A7037 |
Tubing used with positive airway pressure device |
6,147 |
5,354 |
$56K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
186 |
147 |
$52K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,894 |
4,797 |
$40K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,206 |
1,078 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
2,026 |
1,745 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,564 |
6,530 |
$22K |
| E0570 |
Nebulizer, with compressor |
2,774 |
2,088 |
$20K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
401 |
355 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,378 |
1,223 |
$11K |
| E1392 |
Portable oxygen concentrator, rental |
1,379 |
1,184 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
336 |
302 |
$8K |
| K0001 |
Standard wheelchair |
461 |
363 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,211 |
1,015 |
$639.94 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
28 |
24 |
$456.06 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
103 |
88 |
$338.60 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
53 |
41 |
$182.65 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
17 |
14 |
$4.48 |