| 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 |
14,818 |
13,124 |
$851K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,236 |
1,074 |
$349K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,450 |
6,737 |
$100K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,316 |
2,088 |
$95K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,942 |
1,768 |
$81K |
| A7030 |
Full face mask used with positive airway pressure device, each |
987 |
887 |
$67K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,018 |
4,544 |
$41K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,041 |
949 |
$39K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,082 |
976 |
$33K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
615 |
551 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
1,424 |
1,292 |
$27K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
481 |
438 |
$25K |
| A7037 |
Tubing used with positive airway pressure device |
1,024 |
905 |
$17K |
| E0570 |
Nebulizer, with compressor |
1,157 |
1,053 |
$9K |
| 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) |
112 |
100 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
255 |
200 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
181 |
164 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
32 |
25 |
$816.91 |
| K0001 |
Standard wheelchair |
13 |
12 |
$373.72 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
142 |
128 |
$174.85 |