| 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 |
22,662 |
20,067 |
$488K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,829 |
1,682 |
$68K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,357 |
3,060 |
$66K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,063 |
10,614 |
$63K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,030 |
2,756 |
$52K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
308 |
264 |
$50K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,311 |
2,144 |
$47K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,565 |
1,470 |
$34K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,130 |
1,037 |
$26K |
| E1392 |
Portable oxygen concentrator, rental |
2,915 |
2,672 |
$25K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,653 |
2,454 |
$18K |
| E0570 |
Nebulizer, with compressor |
3,896 |
3,528 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,327 |
5,828 |
$15K |
| A7035 |
Headgear used with positive airway pressure device |
1,861 |
1,684 |
$15K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,395 |
1,279 |
$7K |
| K0001 |
Standard wheelchair |
464 |
420 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
67 |
61 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,784 |
1,564 |
$919.88 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
219 |
202 |
$852.96 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
52 |
49 |
$831.61 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
64 |
64 |
$119.02 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
13 |
$32.09 |
| A7014 |
Filter, nondisposable, used with aerosol compressor or ultrasonic generator |
13 |
12 |
$19.62 |