| 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 |
41,544 |
39,320 |
$2.11M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,352 |
1,258 |
$577K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
10,397 |
9,828 |
$476K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
24,970 |
23,677 |
$289K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,748 |
1,623 |
$90K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,818 |
1,629 |
$58K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,426 |
1,314 |
$54K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,002 |
1,848 |
$53K |
| E1392 |
Portable oxygen concentrator, rental |
3,062 |
2,940 |
$31K |
| A7037 |
Tubing used with positive airway pressure device |
2,424 |
2,284 |
$27K |
| A7035 |
Headgear used with positive airway pressure device |
1,709 |
1,571 |
$20K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
695 |
626 |
$18K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,637 |
1,436 |
$17K |
| E0570 |
Nebulizer, with compressor |
1,680 |
1,577 |
$15K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,382 |
861 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,796 |
3,500 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
274 |
240 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
224 |
186 |
$4K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
52 |
52 |
$2K |
| A7002 |
Tubing, used with suction pump, each |
198 |
188 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
531 |
438 |
$801.55 |
| A7526 |
Tracheostomy tube collar/holder, each |
15 |
12 |
$706.60 |
| A7000 |
Canister, disposable, used with suction pump, each |
164 |
144 |
$442.56 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
15 |
12 |
$50.68 |
| K0001 |
Standard wheelchair |
17 |
13 |
$45.55 |