| 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 |
27,720 |
20,392 |
$720K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
847 |
525 |
$168K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,177 |
1,950 |
$116K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,738 |
3,540 |
$74K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,156 |
10,191 |
$72K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,848 |
2,505 |
$60K |
| E0570 |
Nebulizer, with compressor |
5,676 |
4,397 |
$50K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,287 |
1,838 |
$33K |
| A7035 |
Headgear used with positive airway pressure device |
2,364 |
2,124 |
$29K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,460 |
3,958 |
$28K |
| K0001 |
Standard wheelchair |
3,179 |
2,438 |
$25K |
| A7037 |
Tubing used with positive airway pressure device |
2,858 |
2,537 |
$21K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
527 |
465 |
$18K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
403 |
380 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,603 |
1,455 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,729 |
5,953 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
413 |
365 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
860 |
661 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,986 |
2,357 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
530 |
355 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
204 |
157 |
$257.33 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
15 |
12 |
$212.24 |