| 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 |
49,395 |
43,369 |
$1.22M |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
24,716 |
21,594 |
$153K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
830 |
732 |
$77K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,766 |
1,583 |
$60K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,905 |
2,664 |
$58K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,927 |
2,577 |
$44K |
| E1392 |
Portable oxygen concentrator, rental |
3,316 |
3,048 |
$30K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,674 |
1,455 |
$26K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,495 |
1,332 |
$22K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,369 |
1,260 |
$22K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,568 |
1,295 |
$20K |
| K0001 |
Standard wheelchair |
2,148 |
1,893 |
$17K |
| E0570 |
Nebulizer, with compressor |
5,889 |
5,169 |
$15K |
| A7035 |
Headgear used with positive airway pressure device |
2,060 |
1,831 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,128 |
5,525 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,300 |
1,991 |
$11K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
637 |
560 |
$10K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
458 |
399 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,517 |
1,374 |
$7K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
331 |
296 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,050 |
1,830 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
362 |
330 |
$1K |
| K0003 |
Lightweight wheelchair |
13 |
12 |
$118.66 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
75 |
73 |
$85.82 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
21 |
16 |
$75.24 |