| 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 |
29,130 |
21,270 |
$1.05M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,961 |
2,439 |
$788K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
17,854 |
13,128 |
$125K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
495 |
384 |
$112K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,657 |
1,880 |
$84K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,908 |
2,660 |
$70K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,281 |
1,623 |
$68K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,883 |
1,172 |
$60K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,759 |
1,721 |
$58K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
179 |
129 |
$50K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,342 |
1,577 |
$45K |
| E0570 |
Nebulizer, with compressor |
7,696 |
4,475 |
$39K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,292 |
6,790 |
$37K |
| A7035 |
Headgear used with positive airway pressure device |
3,119 |
2,273 |
$37K |
| K0001 |
Standard wheelchair |
3,429 |
2,324 |
$31K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,573 |
1,202 |
$29K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,995 |
1,188 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
3,507 |
2,154 |
$23K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,257 |
1,671 |
$14K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
2,572 |
1,458 |
$12K |
| 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) |
112 |
77 |
$9K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,834 |
1,352 |
$9K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,227 |
869 |
$8K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
5,117 |
3,432 |
$5K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
156 |
118 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
114 |
86 |
$3K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
71 |
64 |
$787.20 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
46 |
39 |
$546.00 |