| 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 |
15,748 |
14,368 |
$1.39M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,903 |
1,750 |
$949K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,746 |
3,483 |
$172K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,144 |
8,352 |
$143K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,972 |
1,901 |
$127K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,836 |
3,578 |
$74K |
| E0570 |
Nebulizer, with compressor |
2,247 |
2,166 |
$70K |
| 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) |
616 |
615 |
$63K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,724 |
1,665 |
$51K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,162 |
5,733 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
1,950 |
1,864 |
$31K |
| A7037 |
Tubing used with positive airway pressure device |
1,870 |
1,790 |
$27K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
604 |
571 |
$25K |
| E1392 |
Portable oxygen concentrator, rental |
1,170 |
1,051 |
$22K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
913 |
874 |
$21K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
528 |
448 |
$20K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
454 |
409 |
$19K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,827 |
1,723 |
$16K |
| K0001 |
Standard wheelchair |
632 |
532 |
$15K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
221 |
220 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
66 |
64 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,091 |
981 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
320 |
297 |
$337.87 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
79 |
79 |
$37.70 |