| 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 |
13,398 |
11,957 |
$399K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,172 |
5,501 |
$65K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
318 |
289 |
$48K |
| E0570 |
Nebulizer, with compressor |
2,662 |
2,417 |
$19K |
| E0601 |
Continuous positive airway pressure (cpap) device |
293 |
245 |
$8K |
| K0001 |
Standard wheelchair |
487 |
447 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
284 |
239 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,008 |
708 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
56 |
48 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
305 |
250 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
118 |
108 |
$961.70 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,192 |
1,071 |
$851.74 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
91 |
83 |
$760.61 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
16 |
13 |
$321.77 |
| A7035 |
Headgear used with positive airway pressure device |
18 |
12 |
$151.08 |
| A7037 |
Tubing used with positive airway pressure device |
15 |
15 |
$108.76 |
| A7015 |
Aerosol mask, used with dme nebulizer |
134 |
120 |
$99.00 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
33 |
27 |
$11.40 |