| 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 |
13,446 |
12,713 |
$1.04M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,535 |
2,389 |
$1.03M |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
505 |
259 |
$200K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,054 |
2,789 |
$130K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,620 |
7,282 |
$121K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
599 |
499 |
$98K |
| A7030 |
Full face mask used with positive airway pressure device, each |
797 |
745 |
$55K |
| E0570 |
Nebulizer, with compressor |
1,930 |
1,822 |
$50K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
352 |
317 |
$37K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
830 |
751 |
$36K |
| 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) |
310 |
293 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
1,270 |
1,189 |
$25K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
646 |
606 |
$22K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
435 |
399 |
$20K |
| K0001 |
Standard wheelchair |
816 |
755 |
$16K |
| A7037 |
Tubing used with positive airway pressure device |
929 |
878 |
$15K |
| A7507 |
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each |
302 |
200 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,258 |
2,098 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
1,148 |
1,073 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
277 |
257 |
$8K |
| A7526 |
Tracheostomy tube collar/holder, each |
490 |
357 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,309 |
1,143 |
$5K |
| A7000 |
Canister, disposable, used with suction pump, each |
819 |
538 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
286 |
272 |
$5K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
35 |
24 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
347 |
325 |
$4K |
| A7002 |
Tubing, used with suction pump, each |
870 |
540 |
$2K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
22 |
12 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
228 |
215 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
14 |
12 |
$414.85 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
264 |
251 |
$297.14 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
23 |
12 |
$61.24 |