| 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 |
30,571 |
27,424 |
$621K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14,340 |
12,822 |
$69K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,733 |
1,651 |
$29K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
309 |
271 |
$27K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,005 |
956 |
$27K |
| E0570 |
Nebulizer, with compressor |
5,154 |
4,621 |
$13K |
| E0601 |
Continuous positive airway pressure (cpap) device |
871 |
808 |
$12K |
| E1392 |
Portable oxygen concentrator, rental |
1,372 |
1,294 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
453 |
401 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,828 |
2,679 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
1,327 |
1,251 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
946 |
881 |
$5K |
| K0001 |
Standard wheelchair |
633 |
538 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
611 |
577 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,750 |
2,458 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
237 |
230 |
$1K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
241 |
228 |
$761.32 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
67 |
62 |
$488.40 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
17 |
13 |
$337.13 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
80 |
79 |
$111.97 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
13 |
$3.00 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
12 |
12 |
$2.99 |