| 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 |
31,375 |
29,555 |
$1.15M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,313 |
1,248 |
$416K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,542 |
3,347 |
$247K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
15,830 |
14,905 |
$144K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,118 |
3,846 |
$124K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,325 |
3,170 |
$107K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,243 |
2,122 |
$87K |
| A7037 |
Tubing used with positive airway pressure device |
5,046 |
4,830 |
$86K |
| E0570 |
Nebulizer, with compressor |
6,547 |
6,226 |
$83K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,864 |
1,767 |
$75K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,791 |
2,596 |
$68K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,294 |
2,153 |
$63K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,555 |
1,471 |
$45K |
| A7035 |
Headgear used with positive airway pressure device |
3,345 |
3,151 |
$43K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,707 |
9,142 |
$43K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,224 |
2,016 |
$25K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,690 |
2,542 |
$20K |
| E1392 |
Portable oxygen concentrator, rental |
2,261 |
2,120 |
$19K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
450 |
434 |
$12K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
397 |
386 |
$6K |
| K0001 |
Standard wheelchair |
586 |
576 |
$6K |
| 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) |
72 |
72 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,530 |
1,423 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
326 |
317 |
$1K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
450 |
417 |
$192.52 |