| 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 |
16,332 |
16,246 |
$765K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
984 |
982 |
$269K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,871 |
5,826 |
$66K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,270 |
1,267 |
$55K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,914 |
1,911 |
$34K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
756 |
748 |
$17K |
| E0570 |
Nebulizer, with compressor |
3,105 |
3,092 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,134 |
2,129 |
$8K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
25 |
25 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
395 |
394 |
$6K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
186 |
184 |
$6K |
| K0001 |
Standard wheelchair |
198 |
196 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
180 |
179 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
65 |
65 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
85 |
82 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
177 |
177 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
74 |
74 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
300 |
300 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
116 |
116 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
257 |
243 |
$544.23 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
251 |
245 |
$30.38 |