| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,073 |
2,645 |
$1.52M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
15,910 |
11,996 |
$563K |
| E0601 |
Continuous positive airway pressure (cpap) device |
10,717 |
8,180 |
$253K |
| A7030 |
Full face mask used with positive airway pressure device, each |
5,081 |
3,888 |
$218K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
8,144 |
6,252 |
$118K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,638 |
3,506 |
$117K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
7,551 |
5,868 |
$105K |
| 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) |
1,360 |
1,044 |
$84K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,391 |
7,838 |
$81K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,947 |
2,263 |
$73K |
| E0570 |
Nebulizer, with compressor |
9,104 |
6,876 |
$53K |
| A7035 |
Headgear used with positive airway pressure device |
5,207 |
4,168 |
$51K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,974 |
1,306 |
$38K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,111 |
834 |
$31K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,034 |
6,348 |
$30K |
| K0001 |
Standard wheelchair |
2,246 |
1,563 |
$23K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,764 |
2,917 |
$18K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
806 |
608 |
$17K |
| E1392 |
Portable oxygen concentrator, rental |
2,951 |
1,941 |
$9K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
672 |
534 |
$7K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
331 |
173 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
149 |
114 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
352 |
262 |
$2K |
| 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 |
46 |
38 |
$685.47 |
| K0003 |
Lightweight wheelchair |
41 |
25 |
$496.78 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
250 |
191 |
$135.76 |
| A7036 |
Chinstrap used with positive airway pressure device |
16 |
12 |
$62.47 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
13 |
$4.74 |