| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,864 |
2,467 |
$1.10M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
24,977 |
22,095 |
$1.08M |
| E0601 |
Continuous positive airway pressure (cpap) device |
9,724 |
8,804 |
$391K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,583 |
3,191 |
$199K |
| 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) |
1,587 |
1,436 |
$172K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,675 |
1,497 |
$164K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
19,196 |
16,574 |
$112K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,463 |
1,220 |
$44K |
| A7037 |
Tubing used with positive airway pressure device |
3,749 |
3,301 |
$41K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,363 |
1,871 |
$39K |
| A7035 |
Headgear used with positive airway pressure device |
3,295 |
2,840 |
$36K |
| E0570 |
Nebulizer, with compressor |
6,733 |
5,950 |
$32K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,183 |
4,983 |
$19K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
769 |
587 |
$15K |
| K0001 |
Standard wheelchair |
1,335 |
1,024 |
$13K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,849 |
1,629 |
$12K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
258 |
236 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
808 |
744 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
973 |
732 |
$4K |
| K0003 |
Lightweight wheelchair |
220 |
198 |
$3K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
275 |
215 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
952 |
784 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
242 |
165 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
362 |
327 |
$347.77 |
| A7036 |
Chinstrap used with positive airway pressure device |
13 |
12 |
$79.53 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
512 |
458 |
$40.00 |