| 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 |
8,515 |
8,395 |
$736K |
| K0001 |
Standard wheelchair |
3,665 |
3,635 |
$214K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,899 |
2,872 |
$99K |
| 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 |
2,509 |
2,485 |
$76K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,433 |
1,418 |
$64K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,057 |
1,045 |
$60K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,453 |
2,435 |
$45K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,135 |
1,127 |
$37K |
| 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) |
270 |
268 |
$32K |
| E1392 |
Portable oxygen concentrator, rental |
848 |
848 |
$31K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
28 |
26 |
$26K |
| A7035 |
Headgear used with positive airway pressure device |
1,465 |
1,452 |
$25K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
343 |
339 |
$17K |
| E0570 |
Nebulizer, with compressor |
623 |
622 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,998 |
1,976 |
$12K |
| A7030 |
Full face mask used with positive airway pressure device, each |
96 |
96 |
$9K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
195 |
192 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
593 |
590 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
360 |
354 |
$6K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
77 |
77 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
649 |
644 |
$4K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
30 |
29 |
$2K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
49 |
48 |
$2K |
| A7036 |
Chinstrap used with positive airway pressure device |
129 |
129 |
$1K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
178 |
177 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
14 |
12 |
$418.62 |