| 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 |
28,123 |
19,801 |
$1.11M |
| A7030 |
Full face mask used with positive airway pressure device, each |
5,761 |
4,480 |
$371K |
| A7031 |
Face mask interface, replacement for full face mask, each |
9,184 |
7,772 |
$307K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,590 |
5,395 |
$286K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
7,819 |
6,197 |
$202K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
4,692 |
3,790 |
$184K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,954 |
1,299 |
$153K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
4,040 |
3,521 |
$141K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,816 |
11,806 |
$110K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,521 |
5,443 |
$91K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
3,278 |
2,833 |
$85K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
17,288 |
14,804 |
$84K |
| A7035 |
Headgear used with positive airway pressure device |
6,032 |
4,824 |
$83K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,536 |
2,105 |
$60K |
| E1392 |
Portable oxygen concentrator, rental |
3,685 |
2,434 |
$36K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
4,348 |
3,469 |
$32K |
| A7037 |
Tubing used with positive airway pressure device |
2,564 |
1,995 |
$29K |
| E0570 |
Nebulizer, with compressor |
7,638 |
5,384 |
$25K |
| K0001 |
Standard wheelchair |
3,233 |
1,976 |
$23K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,620 |
912 |
$6K |
| 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) |
14 |
12 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
5,140 |
3,268 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
987 |
619 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
67 |
36 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
227 |
168 |
$1K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
154 |
86 |
$533.83 |
| A7015 |
Aerosol mask, used with dme nebulizer |
144 |
96 |
$24.18 |