| 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 |
8,726 |
7,577 |
$354K |
| E0570 |
Nebulizer, with compressor |
10,621 |
8,957 |
$124K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,331 |
4,602 |
$123K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,323 |
2,074 |
$68K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,357 |
1,167 |
$51K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,926 |
1,646 |
$44K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,607 |
1,357 |
$36K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,073 |
3,353 |
$34K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,328 |
1,113 |
$30K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,436 |
3,010 |
$25K |
| 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) |
505 |
453 |
$24K |
| E1392 |
Portable oxygen concentrator, rental |
2,425 |
2,151 |
$22K |
| K0001 |
Standard wheelchair |
2,407 |
2,110 |
$22K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
865 |
723 |
$20K |
| A7035 |
Headgear used with positive airway pressure device |
2,256 |
1,923 |
$18K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,420 |
2,095 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
620 |
538 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,265 |
1,080 |
$6K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
275 |
235 |
$6K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
242 |
200 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
156 |
141 |
$4K |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
174 |
170 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,496 |
2,083 |
$4K |
| A7015 |
Aerosol mask, used with dme nebulizer |
2,318 |
1,960 |
$2K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
116 |
113 |
$1K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
18 |
12 |
$455.69 |
| A4259 |
Lancets, per box of 100 |
105 |
84 |
$251.19 |
| E0156 |
Seat attachment, walker |
61 |
53 |
$201.19 |