| 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 |
9,058 |
8,920 |
$684K |
| E0601 |
Continuous positive airway pressure (cpap) device |
9,753 |
9,677 |
$422K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,659 |
2,637 |
$174K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,688 |
4,574 |
$163K |
| K0001 |
Standard wheelchair |
3,404 |
3,369 |
$119K |
| 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 |
3,803 |
3,757 |
$114K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,827 |
1,799 |
$81K |
| A7035 |
Headgear used with positive airway pressure device |
3,315 |
3,281 |
$74K |
| A7037 |
Tubing used with positive airway pressure device |
2,758 |
2,741 |
$60K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,743 |
2,716 |
$53K |
| 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) |
344 |
341 |
$47K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,957 |
4,898 |
$47K |
| A7030 |
Full face mask used with positive airway pressure device, each |
879 |
874 |
$47K |
| E0570 |
Nebulizer, with compressor |
1,147 |
1,137 |
$40K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,093 |
1,091 |
$39K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,852 |
1,844 |
$20K |
| A7031 |
Face mask interface, replacement for full face mask, each |
391 |
390 |
$18K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
308 |
304 |
$18K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
587 |
556 |
$13K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
274 |
269 |
$7K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
110 |
110 |
$6K |
| A7036 |
Chinstrap used with positive airway pressure device |
244 |
244 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
160 |
159 |
$1K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
24 |
24 |
$885.27 |
| E0310 |
Bed side rails, full length |
49 |
48 |
$768.48 |
| E0271 |
Mattress, innerspring |
65 |
64 |
$746.79 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
396 |
374 |
$454.17 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
505 |
478 |
$296.47 |
| E1392 |
Portable oxygen concentrator, rental |
28 |
27 |
$250.38 |
| E0156 |
Seat attachment, walker |
13 |
13 |
$182.77 |
| E0272 |
Mattress, foam rubber |
12 |
12 |
$160.26 |
| A7015 |
Aerosol mask, used with dme nebulizer |
39 |
39 |
$52.37 |