| 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 |
10,685 |
10,082 |
$445K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,070 |
6,609 |
$279K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,724 |
3,489 |
$249K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,062 |
3,709 |
$134K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,106 |
3,821 |
$128K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,819 |
4,526 |
$121K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,678 |
2,518 |
$117K |
| 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) |
1,075 |
1,015 |
$79K |
| A7035 |
Headgear used with positive airway pressure device |
4,152 |
3,900 |
$63K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,643 |
1,547 |
$57K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,258 |
7,689 |
$41K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,762 |
4,484 |
$41K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,459 |
1,344 |
$37K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
126 |
105 |
$35K |
| 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 |
2,308 |
2,231 |
$35K |
| 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) |
227 |
219 |
$31K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,561 |
1,494 |
$27K |
| A7037 |
Tubing used with positive airway pressure device |
1,373 |
1,285 |
$22K |
| E0277 |
Powered pressure-reducing air mattress |
152 |
128 |
$10K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,598 |
1,493 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
986 |
934 |
$8K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
559 |
525 |
$8K |
| E0303 |
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress |
79 |
75 |
$7K |
| E0570 |
Nebulizer, with compressor |
1,254 |
1,158 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
487 |
460 |
$6K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
126 |
119 |
$5K |
| K0001 |
Standard wheelchair |
484 |
440 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
189 |
173 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
550 |
508 |
$2K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
81 |
69 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
269 |
241 |
$2K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
114 |
102 |
$2K |
| A7036 |
Chinstrap used with positive airway pressure device |
225 |
215 |
$1K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
152 |
121 |
$610.08 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
121 |
41 |
$469.40 |
| E0974 |
Manual wheelchair accessory, anti-rollback device, each |
419 |
207 |
$418.53 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
264 |
229 |
$87.83 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
25 |
24 |
$78.49 |