| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
8,209 |
7,771 |
$1.08M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
14,986 |
11,963 |
$618K |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,850 |
4,444 |
$469K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,176 |
2,972 |
$431K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
5,178 |
4,799 |
$296K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
6,402 |
5,969 |
$251K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,989 |
2,679 |
$180K |
| A7035 |
Headgear used with positive airway pressure device |
7,752 |
7,145 |
$149K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,902 |
1,720 |
$140K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,433 |
8,698 |
$119K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,139 |
6,937 |
$99K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,965 |
1,661 |
$96K |
| 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) |
478 |
443 |
$90K |
| A7037 |
Tubing used with positive airway pressure device |
4,320 |
3,992 |
$76K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
1,778 |
1,724 |
$75K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,135 |
1,028 |
$74K |
| K0001 |
Standard wheelchair |
1,925 |
1,846 |
$62K |
| E1392 |
Portable oxygen concentrator, rental |
2,313 |
2,065 |
$57K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
51 |
42 |
$57K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
316 |
281 |
$54K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
215 |
187 |
$52K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
4,199 |
3,897 |
$46K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
685 |
634 |
$45K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
914 |
899 |
$39K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
225 |
178 |
$32K |
| A7036 |
Chinstrap used with positive airway pressure device |
3,006 |
2,850 |
$29K |
| 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 |
1,129 |
921 |
$22K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
571 |
541 |
$20K |
| B9002 |
Enteral nutrition infusion pump, any type |
550 |
512 |
$19K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
202 |
176 |
$9K |
| B9998 |
Noc for enteral supplies |
73 |
62 |
$9K |
| B4161 |
Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
14 |
12 |
$4K |
| E0570 |
Nebulizer, with compressor |
370 |
355 |
$3K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
212 |
196 |
$3K |
| E0156 |
Seat attachment, walker |
13 |
12 |
$77.82 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
12 |
$57.89 |