| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
6,650 |
6,088 |
$3.05M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
25,086 |
21,909 |
$1.57M |
| E0601 |
Continuous positive airway pressure (cpap) device |
11,378 |
10,705 |
$455K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,164 |
3,497 |
$291K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,866 |
1,521 |
$268K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
4,782 |
3,996 |
$220K |
| 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) |
2,280 |
2,060 |
$199K |
| 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 |
8,201 |
7,379 |
$181K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,915 |
4,225 |
$134K |
| A7035 |
Headgear used with positive airway pressure device |
6,326 |
5,386 |
$102K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,072 |
2,586 |
$100K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,303 |
4,724 |
$85K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,129 |
2,703 |
$81K |
| E1392 |
Portable oxygen concentrator, rental |
4,854 |
4,208 |
$63K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,520 |
8,846 |
$57K |
| A7037 |
Tubing used with positive airway pressure device |
3,947 |
3,284 |
$51K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
4,875 |
4,146 |
$42K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,671 |
1,438 |
$41K |
| E0570 |
Nebulizer, with compressor |
1,095 |
1,073 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
170 |
123 |
$3K |
| K0001 |
Standard wheelchair |
193 |
148 |
$2K |
| A7526 |
Tracheostomy tube collar/holder, each |
56 |
40 |
$2K |
| A7036 |
Chinstrap used with positive airway pressure device |
171 |
153 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
78 |
74 |
$950.82 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
115 |
108 |
$623.49 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
33 |
14 |
$341.62 |
| A7000 |
Canister, disposable, used with suction pump, each |
41 |
25 |
$202.32 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
75 |
72 |
$27.18 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
28 |
24 |
$17.04 |