| 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 |
20,188 |
9,963 |
$365K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,142 |
544 |
$119K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,597 |
2,172 |
$51K |
| 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 |
6,192 |
3,392 |
$41K |
| E1392 |
Portable oxygen concentrator, rental |
5,196 |
2,555 |
$19K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,185 |
840 |
$18K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,729 |
1,562 |
$16K |
| A7030 |
Full face mask used with positive airway pressure device, each |
503 |
362 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,287 |
932 |
$14K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
397 |
100 |
$12K |
| A7526 |
Tracheostomy tube collar/holder, each |
907 |
416 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
1,474 |
1,090 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
1,210 |
868 |
$8K |
| A7031 |
Face mask interface, replacement for full face mask, each |
498 |
354 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,883 |
1,999 |
$5K |
| A4217 |
Sterile water/saline, 500 ml |
99 |
51 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
300 |
185 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
318 |
249 |
$3K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
40 |
25 |
$2K |
| E0570 |
Nebulizer, with compressor |
271 |
162 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
405 |
314 |
$1K |
| A7000 |
Canister, disposable, used with suction pump, each |
122 |
80 |
$960.23 |
| K0001 |
Standard wheelchair |
212 |
114 |
$892.05 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
45 |
14 |
$82.05 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
57 |
37 |
$39.17 |
| E0156 |
Seat attachment, walker |
48 |
13 |
$7.70 |