| 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 |
33,823 |
29,139 |
$707K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,449 |
1,186 |
$153K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,333 |
11,607 |
$65K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,534 |
2,231 |
$46K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,087 |
962 |
$38K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,713 |
1,471 |
$32K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
573 |
529 |
$13K |
| E0570 |
Nebulizer, with compressor |
4,399 |
3,933 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
2,014 |
1,809 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,351 |
3,842 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
357 |
315 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
1,144 |
993 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,569 |
1,369 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
560 |
501 |
$6K |
| K0001 |
Standard wheelchair |
532 |
476 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
663 |
591 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
602 |
547 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
497 |
420 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,970 |
2,633 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
15 |
12 |
$278.42 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
55 |
55 |
$80.73 |