| 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 |
27,586 |
27,020 |
$1.06M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,832 |
3,817 |
$1.04M |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,072 |
4,045 |
$264K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,257 |
6,187 |
$182K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
16,538 |
16,192 |
$142K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,431 |
2,423 |
$94K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,263 |
3,241 |
$81K |
| E0570 |
Nebulizer, with compressor |
17,279 |
17,194 |
$81K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,991 |
2,924 |
$63K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,929 |
1,907 |
$60K |
| A7035 |
Headgear used with positive airway pressure device |
3,711 |
3,689 |
$49K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,557 |
1,542 |
$40K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,783 |
10,635 |
$39K |
| 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 |
2,909 |
2,878 |
$36K |
| A7037 |
Tubing used with positive airway pressure device |
2,933 |
2,919 |
$31K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
951 |
931 |
$27K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,024 |
3,005 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,187 |
2,178 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
1,053 |
1,039 |
$11K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,713 |
1,709 |
$8K |
| K0001 |
Standard wheelchair |
1,006 |
1,001 |
$6K |
| 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) |
123 |
123 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
274 |
274 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,708 |
2,623 |
$2K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
166 |
166 |
$487.42 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,471 |
1,463 |
$384.37 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
37 |
37 |
$132.81 |
| A7015 |
Aerosol mask, used with dme nebulizer |
160 |
160 |
$82.19 |