| 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 |
22,905 |
22,058 |
$532K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
942 |
915 |
$218K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,609 |
2,508 |
$69K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,560 |
13,053 |
$67K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,314 |
3,201 |
$63K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,082 |
2,004 |
$30K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,287 |
1,267 |
$29K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,737 |
1,699 |
$28K |
| A7035 |
Headgear used with positive airway pressure device |
2,542 |
2,468 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,958 |
5,756 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,389 |
1,330 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
2,822 |
2,745 |
$11K |
| E1392 |
Portable oxygen concentrator, rental |
1,398 |
1,351 |
$11K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
578 |
562 |
$10K |
| E0570 |
Nebulizer, with compressor |
4,301 |
4,187 |
$9K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
254 |
230 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,358 |
1,279 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,948 |
1,901 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
371 |
364 |
$4K |
| K0001 |
Standard wheelchair |
830 |
807 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
410 |
388 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,257 |
1,206 |
$682.52 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
132 |
124 |
$543.99 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
77 |
76 |
$488.26 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
182 |
182 |
$408.92 |
| 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) |
51 |
50 |
$119.21 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
38 |
38 |
$80.55 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
128 |
123 |
$7.29 |
| A7015 |
Aerosol mask, used with dme nebulizer |
57 |
55 |
$7.05 |