| 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 |
16,015 |
15,997 |
$691K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,972 |
1,972 |
$243K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,381 |
7,367 |
$56K |
| E0601 |
Continuous positive airway pressure (cpap) device |
834 |
831 |
$24K |
| E0570 |
Nebulizer, with compressor |
2,756 |
2,753 |
$24K |
| A7030 |
Full face mask used with positive airway pressure device, each |
234 |
232 |
$11K |
| E1392 |
Portable oxygen concentrator, rental |
1,557 |
1,555 |
$11K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
761 |
760 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,314 |
1,304 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
293 |
293 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,994 |
1,884 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
187 |
186 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
191 |
191 |
$2K |
| K0001 |
Standard wheelchair |
114 |
114 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
67 |
67 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
221 |
220 |
$775.84 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
12 |
12 |
$341.74 |
| A7015 |
Aerosol mask, used with dme nebulizer |
178 |
173 |
$139.15 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
13 |
$4.00 |