| 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 |
10,418 |
7,665 |
$221K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
360 |
261 |
$86K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,313 |
5,632 |
$76K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,300 |
1,090 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,032 |
877 |
$8K |
| E0570 |
Nebulizer, with compressor |
1,728 |
1,298 |
$5K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
27 |
24 |
$4K |
| K0001 |
Standard wheelchair |
223 |
187 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
109 |
88 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
445 |
324 |
$372.03 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
585 |
453 |
$356.47 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,149 |
816 |
$317.04 |
| A7030 |
Full face mask used with positive airway pressure device, each |
96 |
78 |
$298.70 |
| E1392 |
Portable oxygen concentrator, rental |
83 |
54 |
$169.18 |
| A7035 |
Headgear used with positive airway pressure device |
147 |
119 |
$121.76 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
114 |
96 |
$108.44 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
14 |
12 |
$24.95 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
41 |
32 |
$5.03 |