| 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 |
22,025 |
17,967 |
$928K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,591 |
1,366 |
$534K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,060 |
2,747 |
$239K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,929 |
5,600 |
$216K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,097 |
2,772 |
$192K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,293 |
3,914 |
$132K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,656 |
2,485 |
$110K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,074 |
1,879 |
$108K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
15,015 |
12,082 |
$105K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,452 |
9,805 |
$60K |
| A7035 |
Headgear used with positive airway pressure device |
3,183 |
2,866 |
$54K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,241 |
2,883 |
$54K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,042 |
990 |
$35K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,269 |
2,066 |
$18K |
| E0570 |
Nebulizer, with compressor |
2,983 |
2,380 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
925 |
830 |
$14K |
| K0001 |
Standard wheelchair |
989 |
833 |
$13K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
548 |
464 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
1,803 |
1,430 |
$12K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,346 |
1,081 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
103 |
87 |
$519.65 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
43 |
38 |
$165.18 |