| 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 |
23,334 |
16,603 |
$1.29M |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,754 |
3,359 |
$141K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,187 |
2,193 |
$136K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,171 |
7,941 |
$94K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,773 |
2,592 |
$84K |
| E1392 |
Portable oxygen concentrator, rental |
3,293 |
2,254 |
$52K |
| A7037 |
Tubing used with positive airway pressure device |
3,878 |
2,691 |
$36K |
| E0570 |
Nebulizer, with compressor |
5,180 |
3,637 |
$36K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,276 |
866 |
$33K |
| A7035 |
Headgear used with positive airway pressure device |
2,880 |
2,039 |
$29K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
99 |
48 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
393 |
328 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,854 |
4,902 |
$21K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
970 |
646 |
$16K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
548 |
346 |
$11K |
| K0001 |
Standard wheelchair |
1,469 |
1,031 |
$9K |
| 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) |
82 |
68 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,181 |
846 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
283 |
200 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
99 |
79 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
44 |
39 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
29 |
25 |
$857.52 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
75 |
53 |
$40.84 |