| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
24,542 |
24,432 |
$1.26M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,548 |
3,394 |
$872K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
18,354 |
18,159 |
$608K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
16,462 |
16,283 |
$478K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
7,717 |
7,695 |
$360K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
11,600 |
11,568 |
$331K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
9,013 |
8,481 |
$279K |
| 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) |
3,341 |
3,294 |
$268K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
9,766 |
9,374 |
$251K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,008 |
3,989 |
$223K |
| A7035 |
Headgear used with positive airway pressure device |
9,100 |
9,059 |
$161K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
27,137 |
26,120 |
$153K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,836 |
3,769 |
$126K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,687 |
9,578 |
$86K |
| E1392 |
Portable oxygen concentrator, rental |
5,400 |
5,366 |
$68K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
5,529 |
5,513 |
$53K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
3,744 |
3,715 |
$50K |
| 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) |
218 |
214 |
$39K |
| A7036 |
Chinstrap used with positive airway pressure device |
2,474 |
2,466 |
$25K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
1,498 |
1,482 |
$21K |
| K0001 |
Standard wheelchair |
1,759 |
1,750 |
$14K |
| E0570 |
Nebulizer, with compressor |
3,235 |
3,223 |
$8K |
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
100 |
100 |
$5K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
127 |
127 |
$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 |
61 |
60 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
64 |
64 |
$752.33 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
48 |
48 |
$430.24 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
117 |
116 |
$417.27 |
| E0277 |
Powered pressure-reducing air mattress |
25 |
24 |
$377.73 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
13 |
13 |
$60.51 |