| 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 |
45,108 |
39,018 |
$1.07M |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,066 |
3,607 |
$149K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,538 |
5,876 |
$128K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
21,218 |
18,047 |
$120K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,243 |
4,523 |
$100K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
5,648 |
4,968 |
$91K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
841 |
675 |
$75K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,693 |
1,530 |
$38K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,140 |
5,309 |
$37K |
| E0570 |
Nebulizer, with compressor |
8,685 |
7,444 |
$34K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,434 |
1,296 |
$31K |
| E1392 |
Portable oxygen concentrator, rental |
4,941 |
4,429 |
$31K |
| A7035 |
Headgear used with positive airway pressure device |
3,528 |
3,117 |
$27K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,006 |
1,602 |
$26K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,602 |
9,557 |
$24K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,158 |
1,081 |
$21K |
| K0001 |
Standard wheelchair |
2,579 |
2,231 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,739 |
2,444 |
$14K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
175 |
112 |
$12K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,526 |
3,074 |
$3K |
| 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) |
98 |
92 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
118 |
112 |
$792.78 |
| K0003 |
Lightweight wheelchair |
57 |
49 |
$690.34 |
| A7000 |
Canister, disposable, used with suction pump, each |
52 |
51 |
$659.73 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
879 |
771 |
$433.22 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
13 |
12 |
$284.57 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
12 |
12 |
$139.96 |