| 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 |
9,556 |
8,828 |
$831K |
| E0601 |
Continuous positive airway pressure (cpap) device |
11,425 |
9,585 |
$480K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
14,639 |
12,606 |
$353K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,484 |
3,609 |
$295K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,050 |
980 |
$250K |
| 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) |
1,596 |
1,356 |
$143K |
| A7035 |
Headgear used with positive airway pressure device |
5,180 |
4,103 |
$112K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,475 |
2,871 |
$99K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
594 |
352 |
$79K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,907 |
6,459 |
$78K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,827 |
1,503 |
$76K |
| A7037 |
Tubing used with positive airway pressure device |
3,518 |
2,823 |
$59K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,339 |
2,044 |
$54K |
| E0570 |
Nebulizer, with compressor |
3,137 |
2,804 |
$43K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,638 |
2,818 |
$42K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
447 |
304 |
$29K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
448 |
305 |
$27K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,538 |
1,246 |
$19K |
| E1392 |
Portable oxygen concentrator, rental |
2,696 |
2,494 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
83 |
75 |
$1K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
98 |
77 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
50 |
48 |
$1K |
| K0001 |
Standard wheelchair |
40 |
38 |
$452.78 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
139 |
114 |
$195.11 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
62 |
51 |
$36.09 |