| 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 |
12,286 |
10,930 |
$654K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,504 |
1,414 |
$415K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,886 |
1,758 |
$86K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,193 |
7,366 |
$78K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,150 |
1,056 |
$31K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
784 |
700 |
$29K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,871 |
1,773 |
$29K |
| K0001 |
Standard wheelchair |
1,643 |
1,381 |
$25K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
736 |
675 |
$24K |
| A7031 |
Face mask interface, replacement for full face mask, each |
682 |
647 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,700 |
3,463 |
$20K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
816 |
748 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
1,027 |
923 |
$16K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
489 |
454 |
$15K |
| E0570 |
Nebulizer, with compressor |
2,495 |
2,130 |
$13K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
671 |
510 |
$13K |
| A7030 |
Full face mask used with positive airway pressure device, each |
174 |
163 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
416 |
376 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
325 |
256 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
38 |
37 |
$421.29 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
357 |
267 |
$299.63 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
96 |
90 |
$285.05 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
13 |
12 |
$50.70 |