| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
4,480 |
4,239 |
$973K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
24,565 |
21,886 |
$811K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,803 |
8,663 |
$114K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,282 |
2,042 |
$113K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,823 |
2,485 |
$60K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,244 |
1,846 |
$29K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,556 |
2,130 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
3,220 |
2,889 |
$18K |
| E0570 |
Nebulizer, with compressor |
3,983 |
3,465 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
1,750 |
1,554 |
$11K |
| E1392 |
Portable oxygen concentrator, rental |
1,314 |
1,160 |
$10K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
381 |
275 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,227 |
1,098 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,435 |
3,694 |
$8K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
558 |
503 |
$7K |
| 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) |
116 |
87 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,820 |
3,387 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
193 |
173 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
144 |
134 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
427 |
397 |
$2K |
| K0001 |
Standard wheelchair |
162 |
151 |
$712.24 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
263 |
237 |
$305.25 |