| 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 |
12,748 |
11,777 |
$416K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,478 |
6,026 |
$50K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
162 |
145 |
$24K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,335 |
1,177 |
$10K |
| E0570 |
Nebulizer, with compressor |
1,731 |
1,596 |
$6K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,486 |
1,330 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
846 |
730 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
451 |
397 |
$3K |
| K0001 |
Standard wheelchair |
463 |
415 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,590 |
2,240 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
161 |
140 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
993 |
881 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
198 |
159 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
451 |
387 |
$995.22 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
200 |
181 |
$926.99 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
189 |
158 |
$531.40 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
152 |
135 |
$188.65 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
32 |
26 |
$72.21 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
219 |
204 |
$23.91 |