| 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 |
44,041 |
33,357 |
$1.59M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,041 |
2,376 |
$992K |
| A7030 |
Full face mask used with positive airway pressure device, each |
6,964 |
5,224 |
$365K |
| A7031 |
Face mask interface, replacement for full face mask, each |
11,026 |
8,887 |
$331K |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,729 |
6,741 |
$282K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
27,579 |
20,829 |
$216K |
| 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) |
1,691 |
1,291 |
$124K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
9,111 |
7,230 |
$110K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,941 |
2,195 |
$94K |
| E0570 |
Nebulizer, with compressor |
9,283 |
6,641 |
$94K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,686 |
2,170 |
$86K |
| A7037 |
Tubing used with positive airway pressure device |
7,662 |
5,764 |
$68K |
| A7035 |
Headgear used with positive airway pressure device |
5,702 |
4,332 |
$64K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
16,936 |
13,490 |
$61K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,166 |
1,714 |
$57K |
| E1392 |
Portable oxygen concentrator, rental |
4,136 |
3,071 |
$48K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,701 |
1,341 |
$44K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,078 |
1,414 |
$36K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
4,504 |
3,384 |
$29K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
920 |
699 |
$22K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,061 |
742 |
$8K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
619 |
425 |
$3K |
| K0001 |
Standard wheelchair |
1,875 |
1,568 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,081 |
1,774 |
$1K |
| E0156 |
Seat attachment, walker |
191 |
146 |
$1K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
112 |
71 |
$708.60 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
164 |
126 |
$278.85 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
28 |
24 |
$108.71 |
| A7015 |
Aerosol mask, used with dme nebulizer |
14 |
13 |
$9.34 |