| 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 |
10,198 |
8,715 |
$363K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,210 |
872 |
$221K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,746 |
2,428 |
$129K |
| E1392 |
Portable oxygen concentrator, rental |
2,592 |
2,376 |
$48K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
804 |
754 |
$43K |
| A7030 |
Full face mask used with positive airway pressure device, each |
576 |
525 |
$40K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,415 |
2,881 |
$39K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
209 |
190 |
$33K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
630 |
562 |
$25K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
593 |
559 |
$19K |
| 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 |
1,098 |
869 |
$14K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
280 |
266 |
$13K |
| A7031 |
Face mask interface, replacement for full face mask, each |
516 |
469 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
1,039 |
917 |
$13K |
| E0570 |
Nebulizer, with compressor |
345 |
321 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
1,244 |
1,098 |
$10K |
| K0001 |
Standard wheelchair |
384 |
359 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
172 |
164 |
$6K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
95 |
69 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,881 |
1,792 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
143 |
124 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
415 |
370 |
$4K |
| 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) |
61 |
52 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
107 |
101 |
$3K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
48 |
38 |
$2K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
33 |
28 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
44 |
39 |
$962.34 |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
123 |
112 |
$919.43 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
27 |
25 |
$104.09 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
79 |
67 |
$74.00 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
25 |
24 |
$14.74 |