| 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 |
14,241 |
13,266 |
$741K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,109 |
1,069 |
$284K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,141 |
5,807 |
$59K |
| A7030 |
Full face mask used with positive airway pressure device, each |
886 |
863 |
$56K |
| A7031 |
Face mask interface, replacement for full face mask, each |
956 |
933 |
$50K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,601 |
1,567 |
$45K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,118 |
1,071 |
$42K |
| E1392 |
Portable oxygen concentrator, rental |
2,541 |
2,402 |
$26K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,969 |
1,902 |
$23K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
547 |
528 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,369 |
1,336 |
$19K |
| E0570 |
Nebulizer, with compressor |
2,039 |
1,895 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,209 |
2,154 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
156 |
151 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
471 |
459 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
61 |
56 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
147 |
144 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
26 |
25 |
$1K |
| K0001 |
Standard wheelchair |
54 |
51 |
$914.11 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
49 |
49 |
$252.70 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
130 |
111 |
$202.02 |