| 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 |
44,854 |
33,966 |
$1.40M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,097 |
2,433 |
$857K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,519 |
3,442 |
$240K |
| A7031 |
Face mask interface, replacement for full face mask, each |
7,347 |
5,908 |
$220K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
24,740 |
18,733 |
$175K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,571 |
4,338 |
$169K |
| 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) |
1,969 |
1,430 |
$124K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
7,606 |
6,010 |
$89K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,873 |
1,452 |
$57K |
| A7037 |
Tubing used with positive airway pressure device |
5,492 |
4,157 |
$49K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,195 |
1,046 |
$44K |
| A7035 |
Headgear used with positive airway pressure device |
3,880 |
3,015 |
$43K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
11,359 |
9,108 |
$41K |
| E0570 |
Nebulizer, with compressor |
7,766 |
5,421 |
$40K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,135 |
963 |
$29K |
| E1392 |
Portable oxygen concentrator, rental |
4,616 |
3,249 |
$29K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,141 |
914 |
$27K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,026 |
2,310 |
$20K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
378 |
267 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,436 |
1,974 |
$948.02 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
131 |
114 |
$362.52 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
193 |
118 |
$307.01 |
| K0001 |
Standard wheelchair |
189 |
168 |
$300.66 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
20 |
12 |
$34.00 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
52 |
40 |
$12.95 |