| 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 |
19,677 |
17,091 |
$496K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
1,468 |
928 |
$406K |
| 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 |
8,865 |
7,599 |
$116K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,844 |
3,367 |
$72K |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
568 |
301 |
$43K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,295 |
884 |
$42K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,810 |
1,251 |
$41K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,264 |
3,713 |
$37K |
| E1392 |
Portable oxygen concentrator, rental |
3,303 |
2,926 |
$25K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,447 |
962 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
2,367 |
1,683 |
$18K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
879 |
710 |
$17K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
952 |
757 |
$16K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
416 |
300 |
$16K |
| K0001 |
Standard wheelchair |
1,762 |
1,503 |
$16K |
| E0570 |
Nebulizer, with compressor |
1,946 |
1,705 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
2,672 |
1,819 |
$13K |
| A7000 |
Canister, disposable, used with suction pump, each |
761 |
420 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
661 |
477 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,450 |
3,171 |
$10K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
93 |
89 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,294 |
954 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
252 |
179 |
$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) |
77 |
63 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
37 |
27 |
$558.30 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
89 |
75 |
$478.23 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
73 |
62 |
$19.82 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
66 |
51 |
$13.53 |