| 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 |
34,742 |
33,383 |
$1.76M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,435 |
2,364 |
$1.62M |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,271 |
8,109 |
$380K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,588 |
4,480 |
$306K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
25,778 |
24,704 |
$224K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,425 |
4,313 |
$220K |
| 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) |
2,533 |
2,366 |
$175K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
9,577 |
9,378 |
$140K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,671 |
4,550 |
$139K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,815 |
1,771 |
$87K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,036 |
1,005 |
$76K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,117 |
6,671 |
$64K |
| 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) |
346 |
337 |
$61K |
| A7035 |
Headgear used with positive airway pressure device |
3,811 |
3,701 |
$51K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
307 |
303 |
$26K |
| E1392 |
Portable oxygen concentrator, rental |
1,040 |
1,013 |
$24K |
| K0001 |
Standard wheelchair |
2,094 |
2,042 |
$23K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,331 |
2,276 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
1,679 |
1,635 |
$15K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
462 |
445 |
$12K |
| E0570 |
Nebulizer, with compressor |
1,640 |
1,603 |
$11K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
15 |
13 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
629 |
622 |
$9K |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
669 |
600 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
558 |
550 |
$3K |
| K0003 |
Lightweight wheelchair |
442 |
436 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
249 |
242 |
$3K |
| A7036 |
Chinstrap used with positive airway pressure device |
231 |
229 |
$2K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
73 |
72 |
$1K |