| 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 |
126,724 |
110,591 |
$6.14M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
7,052 |
6,101 |
$3.50M |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
40,898 |
37,077 |
$952K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
9,541 |
8,658 |
$637K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
45,673 |
41,682 |
$612K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,616 |
2,105 |
$319K |
| E0601 |
Continuous positive airway pressure (cpap) device |
10,568 |
8,917 |
$304K |
| A7030 |
Full face mask used with positive airway pressure device, each |
5,670 |
3,171 |
$174K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
6,377 |
3,323 |
$109K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
4,201 |
3,551 |
$76K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
5,679 |
3,022 |
$71K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,488 |
2,539 |
$68K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
1,447 |
1,331 |
$57K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
565 |
402 |
$55K |
| A7035 |
Headgear used with positive airway pressure device |
8,474 |
4,617 |
$53K |
| E1392 |
Portable oxygen concentrator, rental |
5,069 |
4,507 |
$51K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
1,410 |
1,173 |
$50K |
| A7037 |
Tubing used with positive airway pressure device |
5,933 |
3,686 |
$48K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
4,126 |
1,977 |
$45K |
| E0570 |
Nebulizer, with compressor |
2,487 |
2,008 |
$32K |
| 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) |
894 |
642 |
$31K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
5,982 |
3,366 |
$27K |
| K0001 |
Standard wheelchair |
3,242 |
2,394 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12,361 |
6,555 |
$21K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
783 |
492 |
$18K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,083 |
836 |
$14K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
947 |
434 |
$13K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,032 |
481 |
$9K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
502 |
393 |
$5K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
91 |
38 |
$2K |
| A7036 |
Chinstrap used with positive airway pressure device |
54 |
39 |
$183.96 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
61 |
15 |
$37.66 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
89 |
71 |
$32.33 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
95 |
73 |
$0.68 |