| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,571 |
1,350 |
$765K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
9,136 |
7,508 |
$459K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,423 |
5,968 |
$310K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,621 |
4,029 |
$93K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,502 |
2,401 |
$39K |
| K0001 |
Standard wheelchair |
1,327 |
1,165 |
$29K |
| E1392 |
Portable oxygen concentrator, rental |
1,445 |
1,266 |
$24K |
| A7030 |
Full face mask used with positive airway pressure device, each |
370 |
321 |
$21K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
116 |
116 |
$15K |
| A7037 |
Tubing used with positive airway pressure device |
980 |
830 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
303 |
254 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
745 |
634 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,101 |
939 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
175 |
164 |
$7K |
| E0570 |
Nebulizer, with compressor |
224 |
208 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
168 |
138 |
$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) |
12 |
12 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
201 |
177 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
59 |
38 |
$1K |
| E0156 |
Seat attachment, walker |
30 |
28 |
$118.41 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
27 |
26 |
$36.02 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
12 |
$2.58 |