| 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 |
83,649 |
74,398 |
$2.05M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,791 |
1,590 |
$473K |
| A7030 |
Full face mask used with positive airway pressure device, each |
7,796 |
7,113 |
$286K |
| A7031 |
Face mask interface, replacement for full face mask, each |
13,129 |
12,058 |
$265K |
| E1392 |
Portable oxygen concentrator, rental |
23,188 |
21,111 |
$193K |
| E0601 |
Continuous positive airway pressure (cpap) device |
9,657 |
8,623 |
$184K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
29,003 |
25,341 |
$178K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
1,874 |
999 |
$175K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
5,145 |
4,707 |
$101K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
4,556 |
4,177 |
$85K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,462 |
4,022 |
$78K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
11,680 |
10,487 |
$71K |
| A7035 |
Headgear used with positive airway pressure device |
7,586 |
6,871 |
$56K |
| 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) |
1,846 |
1,660 |
$56K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
22,956 |
21,033 |
$51K |
| E0570 |
Nebulizer, with compressor |
11,395 |
10,215 |
$46K |
| A7037 |
Tubing used with positive airway pressure device |
8,572 |
7,891 |
$41K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,186 |
2,013 |
$35K |
| K0001 |
Standard wheelchair |
3,540 |
2,927 |
$34K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,268 |
2,051 |
$29K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
5,747 |
5,261 |
$28K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
259 |
210 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
6,334 |
5,568 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,643 |
1,553 |
$3K |
| B9002 |
Enteral nutrition infusion pump, any type |
73 |
69 |
$2K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,213 |
1,088 |
$413.64 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
152 |
144 |
$387.76 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
271 |
263 |
$366.27 |
| G0249 |
Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests |
15 |
15 |
$277.00 |
| E0156 |
Seat attachment, walker |
29 |
25 |
$129.56 |
| A7000 |
Canister, disposable, used with suction pump, each |
12 |
12 |
$118.92 |
| E0776 |
Iv pole |
12 |
12 |
$70.61 |