| 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 |
28,529 |
21,639 |
$1.50M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
17,245 |
12,978 |
$159K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,290 |
1,692 |
$110K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,895 |
2,982 |
$102K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
440 |
351 |
$100K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,075 |
1,804 |
$76K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,188 |
1,646 |
$74K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,291 |
2,602 |
$73K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,702 |
1,493 |
$67K |
| E1392 |
Portable oxygen concentrator, rental |
3,269 |
2,556 |
$49K |
| 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) |
642 |
520 |
$44K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,345 |
2,425 |
$38K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,962 |
6,103 |
$35K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,183 |
714 |
$31K |
| E0570 |
Nebulizer, with compressor |
6,026 |
4,425 |
$30K |
| A7035 |
Headgear used with positive airway pressure device |
2,230 |
1,920 |
$29K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,022 |
1,534 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
640 |
530 |
$6K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
776 |
551 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
286 |
229 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,831 |
1,799 |
$3K |
| K0001 |
Standard wheelchair |
246 |
216 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
140 |
12 |
$256.56 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
12 |
12 |
$55.61 |