| 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 |
26,950 |
19,717 |
$930K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,497 |
11,879 |
$107K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,081 |
1,617 |
$101K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,279 |
2,648 |
$85K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
220 |
147 |
$84K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,415 |
1,068 |
$28K |
| E0570 |
Nebulizer, with compressor |
4,458 |
3,195 |
$27K |
| A7037 |
Tubing used with positive airway pressure device |
2,492 |
1,988 |
$24K |
| 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) |
407 |
316 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,821 |
1,456 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,246 |
4,418 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,165 |
1,040 |
$17K |
| K0001 |
Standard wheelchair |
1,490 |
1,005 |
$15K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,167 |
680 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,296 |
1,040 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
798 |
543 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
60 |
50 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
84 |
80 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
44 |
39 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
14 |
12 |
$338.01 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
404 |
239 |
$332.35 |