| 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 |
15,522 |
13,883 |
$1.26M |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,596 |
4,107 |
$445K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,634 |
3,299 |
$339K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,655 |
3,412 |
$240K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,011 |
5,439 |
$211K |
| 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) |
1,310 |
1,137 |
$211K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,023 |
860 |
$149K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,797 |
3,472 |
$145K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,340 |
3,081 |
$139K |
| E0570 |
Nebulizer, with compressor |
5,227 |
4,465 |
$126K |
| A7037 |
Tubing used with positive airway pressure device |
5,316 |
4,905 |
$117K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,056 |
1,647 |
$107K |
| A7035 |
Headgear used with positive airway pressure device |
4,887 |
4,474 |
$101K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
14,175 |
13,121 |
$85K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,334 |
2,193 |
$79K |
| E1392 |
Portable oxygen concentrator, rental |
3,857 |
3,309 |
$79K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,233 |
4,658 |
$74K |
| K0001 |
Standard wheelchair |
2,500 |
1,970 |
$56K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,439 |
1,316 |
$48K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
167 |
154 |
$46K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,872 |
2,661 |
$29K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,693 |
2,458 |
$21K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,606 |
3,337 |
$12K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
193 |
166 |
$10K |
| A4670 |
Automatic blood pressure monitor |
173 |
155 |
$8K |
| 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 |
227 |
217 |
$6K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
84 |
73 |
$4K |
| A7036 |
Chinstrap used with positive airway pressure device |
137 |
125 |
$1K |
| E0156 |
Seat attachment, walker |
125 |
109 |
$1K |
| A7045 |
Exhalation port with or without swivel used with accessories for positive airway devices, replacement only |
87 |
75 |
$682.25 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
16 |
15 |
$304.07 |
| A7007 |
Large volume nebulizer, disposable, unfilled, used with aerosol compressor |
24 |
23 |
$107.66 |
| A4615 |
Cannula, nasal |
46 |
38 |
$11.90 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
17 |
16 |
$9.94 |