| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
9,300 |
7,622 |
$219K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
490 |
431 |
$177K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
5,195 |
4,254 |
$158K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,756 |
2,250 |
$113K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
8,506 |
7,036 |
$73K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,964 |
1,615 |
$50K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,209 |
1,906 |
$36K |
| A7035 |
Headgear used with positive airway pressure device |
3,749 |
3,062 |
$32K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,968 |
1,615 |
$29K |
| 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) |
516 |
415 |
$27K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,673 |
1,424 |
$25K |
| A4623 |
Tracheostomy, inner cannula |
411 |
315 |
$24K |
| A7037 |
Tubing used with positive airway pressure device |
3,139 |
2,583 |
$23K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,782 |
2,358 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,735 |
6,502 |
$18K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
62 |
48 |
$12K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,757 |
2,244 |
$9K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
218 |
168 |
$8K |
| A7526 |
Tracheostomy tube collar/holder, each |
626 |
463 |
$8K |
| E0570 |
Nebulizer, with compressor |
2,575 |
2,144 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
671 |
585 |
$3K |
| K0001 |
Standard wheelchair |
229 |
164 |
$3K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
31 |
26 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
173 |
132 |
$1K |
| A7036 |
Chinstrap used with positive airway pressure device |
167 |
127 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
43 |
37 |
$666.98 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
57 |
39 |
$524.04 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
317 |
259 |
$297.87 |
| A7000 |
Canister, disposable, used with suction pump, each |
73 |
52 |
$270.54 |
| A7002 |
Tubing, used with suction pump, each |
57 |
41 |
$173.93 |
| A7012 |
Water collection device, used with large volume nebulizer |
52 |
37 |
$99.60 |