| 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 |
84,308 |
77,262 |
$4.82M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,860 |
1,646 |
$969K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
58,783 |
54,023 |
$723K |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,122 |
6,793 |
$348K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,753 |
2,862 |
$272K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
3,064 |
2,951 |
$246K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,536 |
2,218 |
$190K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,172 |
1,941 |
$98K |
| A7037 |
Tubing used with positive airway pressure device |
4,098 |
3,643 |
$71K |
| A7035 |
Headgear used with positive airway pressure device |
3,546 |
3,136 |
$62K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,558 |
1,345 |
$39K |
| E1392 |
Portable oxygen concentrator, rental |
2,072 |
1,859 |
$36K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,568 |
4,884 |
$26K |
| E0570 |
Nebulizer, with compressor |
2,976 |
2,379 |
$24K |
| 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 |
1,481 |
1,162 |
$24K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
909 |
823 |
$20K |
| 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) |
176 |
140 |
$15K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,497 |
1,303 |
$11K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
391 |
312 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
468 |
397 |
$8K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
25 |
25 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,011 |
857 |
$5K |
| K0001 |
Standard wheelchair |
280 |
232 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
493 |
283 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
94 |
90 |
$1K |
| A7036 |
Chinstrap used with positive airway pressure device |
54 |
51 |
$383.35 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
16 |
16 |
$176.46 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
53 |
41 |
$0.00 |