| 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 |
19,838 |
15,354 |
$763K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
724 |
502 |
$212K |
| E0430 |
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,853 |
1,179 |
$64K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,936 |
2,686 |
$64K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,123 |
5,084 |
$40K |
| A7030 |
Full face mask used with positive airway pressure device, each |
705 |
550 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,063 |
838 |
$12K |
| E0570 |
Nebulizer, with compressor |
1,869 |
1,501 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
494 |
384 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
173 |
138 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
763 |
598 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
285 |
234 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
1,597 |
1,306 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
832 |
643 |
$1K |
| E1392 |
Portable oxygen concentrator, rental |
155 |
123 |
$1K |
| K0001 |
Standard wheelchair |
335 |
279 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,248 |
1,850 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
26 |
24 |
$810.21 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
26 |
24 |
$399.13 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
19 |
12 |
$304.86 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
103 |
91 |
$52.44 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
67 |
54 |
$6.30 |