| 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 |
15,934 |
14,892 |
$623K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
899 |
828 |
$344K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,187 |
9,446 |
$70K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,066 |
1,973 |
$59K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,124 |
1,081 |
$57K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,608 |
1,535 |
$46K |
| A7037 |
Tubing used with positive airway pressure device |
1,943 |
1,862 |
$18K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
646 |
626 |
$17K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
38 |
36 |
$16K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,461 |
1,385 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,649 |
3,469 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
752 |
717 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
880 |
793 |
$5K |
| E0570 |
Nebulizer, with compressor |
1,974 |
1,894 |
$5K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
369 |
341 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
102 |
100 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
435 |
417 |
$3K |
| K0001 |
Standard wheelchair |
164 |
156 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,889 |
1,639 |
$1K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
13 |
12 |
$366.59 |
| A7000 |
Canister, disposable, used with suction pump, each |
58 |
49 |
$325.75 |
| A7002 |
Tubing, used with suction pump, each |
29 |
24 |
$96.41 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
27 |
27 |
$85.88 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
26 |
25 |
$63.51 |