| 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 |
20,941 |
17,593 |
$713K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
884 |
730 |
$435K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,820 |
5,244 |
$193K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,084 |
11,229 |
$103K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,823 |
1,599 |
$88K |
| E0570 |
Nebulizer, with compressor |
3,477 |
2,870 |
$73K |
| 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) |
917 |
753 |
$54K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,062 |
901 |
$54K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,592 |
1,246 |
$40K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,832 |
1,620 |
$40K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,137 |
986 |
$39K |
| A7035 |
Headgear used with positive airway pressure device |
2,713 |
2,362 |
$31K |
| A7037 |
Tubing used with positive airway pressure device |
3,388 |
2,972 |
$27K |
| K0001 |
Standard wheelchair |
1,846 |
1,447 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,608 |
4,882 |
$15K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,587 |
2,273 |
$10K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
353 |
324 |
$7K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
414 |
356 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
879 |
833 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
47 |
44 |
$911.03 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
30 |
25 |
$596.57 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
15 |
12 |
$39.95 |