| 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 |
32,844 |
32,569 |
$384K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,683 |
2,680 |
$238K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,534 |
16,305 |
$60K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,023 |
2,002 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,925 |
1,901 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,030 |
1,026 |
$11K |
| E1392 |
Portable oxygen concentrator, rental |
1,263 |
1,256 |
$8K |
| K0001 |
Standard wheelchair |
1,341 |
1,341 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
525 |
517 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
408 |
407 |
$5K |
| E0570 |
Nebulizer, with compressor |
4,996 |
4,960 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
585 |
580 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,374 |
2,334 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
571 |
563 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
729 |
725 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
142 |
140 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
433 |
428 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
52 |
51 |
$872.15 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
234 |
234 |
$254.63 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
615 |
593 |
$151.69 |
| A7037 |
Tubing used with positive airway pressure device |
13 |
13 |
$58.02 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
32 |
32 |
$0.00 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
104 |
104 |
$0.00 |