| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
8,350 |
7,864 |
$286K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
6,801 |
6,490 |
$212K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,093 |
3,738 |
$117K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,011 |
933 |
$52K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,360 |
3,977 |
$47K |
| 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 |
2,748 |
2,602 |
$42K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,380 |
1,270 |
$28K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
603 |
560 |
$19K |
| A7035 |
Headgear used with positive airway pressure device |
1,514 |
1,389 |
$17K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,240 |
1,201 |
$12K |
| A7031 |
Face mask interface, replacement for full face mask, each |
535 |
511 |
$11K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
402 |
366 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,303 |
2,153 |
$6K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
319 |
280 |
$5K |
| 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) |
14 |
12 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
164 |
149 |
$3K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
103 |
83 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
376 |
349 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
443 |
400 |
$3K |
| K0001 |
Standard wheelchair |
394 |
364 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
189 |
177 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
252 |
248 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
239 |
210 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
31 |
27 |
$530.82 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
185 |
170 |
$503.30 |
| A7015 |
Aerosol mask, used with dme nebulizer |
252 |
235 |
$328.09 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
165 |
159 |
$299.07 |