| 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 |
10,614 |
8,472 |
$331K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,894 |
4,458 |
$153K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
312 |
233 |
$107K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,698 |
3,943 |
$91K |
| 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) |
726 |
598 |
$64K |
| E1399 |
Durable medical equipment, miscellaneous |
1,169 |
342 |
$26K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,106 |
1,022 |
$25K |
| K0001 |
Standard wheelchair |
838 |
744 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,795 |
1,468 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
913 |
748 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
617 |
516 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
870 |
716 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
284 |
239 |
$7K |
| E0570 |
Nebulizer, with compressor |
459 |
376 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
1,403 |
1,119 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
230 |
190 |
$3K |
| 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 |
1,309 |
1,003 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
97 |
77 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
403 |
320 |
$882.99 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
47 |
38 |
$828.57 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
276 |
228 |
$789.52 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
18 |
17 |
$406.43 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
12 |
12 |
$269.88 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$30.80 |