| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,109 |
2,604 |
$1.16M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
28,776 |
24,631 |
$1.01M |
| E0601 |
Continuous positive airway pressure (cpap) device |
11,706 |
10,326 |
$300K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
25,889 |
22,102 |
$188K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,452 |
3,112 |
$185K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
10,247 |
8,946 |
$128K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,512 |
2,261 |
$87K |
| 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) |
941 |
817 |
$61K |
| A7035 |
Headgear used with positive airway pressure device |
3,731 |
3,344 |
$43K |
| A7037 |
Tubing used with positive airway pressure device |
4,400 |
3,938 |
$40K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,405 |
2,013 |
$37K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,833 |
1,569 |
$34K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,120 |
1,038 |
$32K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,833 |
6,516 |
$23K |
| E0570 |
Nebulizer, with compressor |
3,173 |
2,817 |
$15K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,878 |
1,641 |
$13K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,397 |
2,130 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
870 |
771 |
$9K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
232 |
208 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
106 |
98 |
$4K |
| K0001 |
Standard wheelchair |
323 |
276 |
$3K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
122 |
115 |
$875.85 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
2,200 |
1,754 |
$689.75 |
| A7036 |
Chinstrap used with positive airway pressure device |
66 |
59 |
$461.96 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
12 |
$125.99 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
12 |
$4.24 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
12 |
$0.00 |