| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
4,837 |
4,004 |
$1.21M |
| 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) |
740 |
578 |
$420K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,274 |
3,119 |
$269K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,645 |
1,552 |
$195K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,559 |
2,476 |
$151K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,299 |
4,086 |
$112K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,761 |
3,642 |
$93K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,903 |
1,768 |
$68K |
| A7035 |
Headgear used with positive airway pressure device |
3,047 |
2,894 |
$37K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,383 |
1,274 |
$31K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,273 |
1,160 |
$24K |
| E0570 |
Nebulizer, with compressor |
1,856 |
1,453 |
$23K |
| 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 |
775 |
738 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,260 |
5,928 |
$17K |
| E1392 |
Portable oxygen concentrator, rental |
789 |
737 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,504 |
1,443 |
$13K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
875 |
689 |
$9K |
| K0001 |
Standard wheelchair |
865 |
734 |
$6K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
36 |
24 |
$5K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
319 |
254 |
$4K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
163 |
124 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
33 |
29 |
$192.76 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
46 |
37 |
$185.66 |