| 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 |
14,376 |
11,130 |
$591K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
935 |
786 |
$268K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,400 |
2,846 |
$266K |
| 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) |
1,240 |
941 |
$101K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,000 |
728 |
$93K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,279 |
1,680 |
$81K |
| K0001 |
Standard wheelchair |
3,047 |
2,672 |
$69K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,396 |
1,048 |
$68K |
| 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 |
4,552 |
3,686 |
$57K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,995 |
1,459 |
$55K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,910 |
1,467 |
$44K |
| A7035 |
Headgear used with positive airway pressure device |
2,809 |
2,087 |
$32K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,345 |
2,691 |
$31K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
703 |
583 |
$31K |
| E0570 |
Nebulizer, with compressor |
961 |
762 |
$29K |
| E1392 |
Portable oxygen concentrator, rental |
1,520 |
714 |
$27K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
707 |
532 |
$23K |
| A7031 |
Face mask interface, replacement for full face mask, each |
909 |
684 |
$22K |
| K0007 |
Extra heavy duty wheelchair |
228 |
209 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,951 |
2,908 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
1,940 |
1,459 |
$19K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
522 |
412 |
$14K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
541 |
432 |
$13K |
| 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) |
45 |
36 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,004 |
759 |
$5K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
49 |
39 |
$2K |
| E0156 |
Seat attachment, walker |
85 |
73 |
$975.33 |
| E0184 |
Dry pressure mattress |
65 |
44 |
$294.64 |
| A7036 |
Chinstrap used with positive airway pressure device |
45 |
27 |
$223.05 |