| 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 |
25,585 |
24,198 |
$1.06M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,681 |
11,928 |
$177K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
391 |
369 |
$136K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,405 |
2,294 |
$89K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,214 |
1,162 |
$42K |
| 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) |
437 |
428 |
$31K |
| E0570 |
Nebulizer, with compressor |
3,548 |
3,297 |
$28K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,116 |
1,064 |
$28K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
971 |
912 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
1,337 |
1,277 |
$16K |
| E1392 |
Portable oxygen concentrator, rental |
1,729 |
1,655 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
1,711 |
1,613 |
$14K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
534 |
482 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,287 |
5,013 |
$12K |
| K0001 |
Standard wheelchair |
893 |
813 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
213 |
206 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,263 |
1,141 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
56 |
51 |
$923.07 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
15 |
12 |
$423.04 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
117 |
107 |
$253.35 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
74 |
74 |
$247.10 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$120.21 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
17 |
12 |
$50.98 |