| 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 |
24,194 |
21,103 |
$1.59M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
551 |
462 |
$95K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,665 |
7,365 |
$87K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,847 |
1,556 |
$57K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,310 |
1,110 |
$35K |
| A7030 |
Full face mask used with positive airway pressure device, each |
547 |
471 |
$32K |
| E0570 |
Nebulizer, with compressor |
2,047 |
1,740 |
$18K |
| K0001 |
Standard wheelchair |
977 |
846 |
$12K |
| 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) |
201 |
147 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
799 |
713 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
512 |
440 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,159 |
1,009 |
$5K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
227 |
174 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
174 |
151 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
43 |
41 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
56 |
51 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
17 |
13 |
$560.58 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
72 |
57 |
$359.21 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
12 |
12 |
$337.69 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
29 |
24 |
$146.38 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
318 |
246 |
$21.56 |