| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,622 |
2,794 |
$1.32M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
22,965 |
18,294 |
$960K |
| E0601 |
Continuous positive airway pressure (cpap) device |
15,758 |
14,587 |
$750K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,504 |
9,036 |
$247K |
| 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) |
2,163 |
1,909 |
$241K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
1,571 |
1,539 |
$165K |
| K0001 |
Standard wheelchair |
4,949 |
4,363 |
$108K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,542 |
6,198 |
$96K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
844 |
759 |
$93K |
| E0570 |
Nebulizer, with compressor |
2,998 |
2,559 |
$61K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,529 |
1,315 |
$51K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,034 |
844 |
$44K |
| E1392 |
Portable oxygen concentrator, rental |
4,022 |
3,157 |
$41K |
| 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 |
4,029 |
3,056 |
$38K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,368 |
1,129 |
$38K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,614 |
1,209 |
$32K |
| A7031 |
Face mask interface, replacement for full face mask, each |
693 |
578 |
$16K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
913 |
756 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
1,935 |
1,619 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,567 |
2,134 |
$15K |
| A7037 |
Tubing used with positive airway pressure device |
1,488 |
1,256 |
$14K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
317 |
268 |
$11K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
910 |
829 |
$8K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
315 |
294 |
$8K |
| K0003 |
Lightweight wheelchair |
279 |
261 |
$8K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
130 |
109 |
$5K |
| E1399 |
Durable medical equipment, miscellaneous |
930 |
241 |
$5K |
| E0156 |
Seat attachment, walker |
609 |
539 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
780 |
662 |
$4K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
982 |
909 |
$3K |
| B9002 |
Enteral nutrition infusion pump, any type |
52 |
36 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
82 |
71 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
877 |
820 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
106 |
90 |
$304.59 |
| A7036 |
Chinstrap used with positive airway pressure device |
32 |
25 |
$95.65 |