| 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 |
14,072 |
12,457 |
$686K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
805 |
699 |
$274K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,258 |
3,735 |
$192K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,421 |
2,119 |
$129K |
| 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) |
1,110 |
963 |
$99K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,277 |
9,595 |
$71K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
644 |
561 |
$49K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,156 |
1,016 |
$45K |
| A7037 |
Tubing used with positive airway pressure device |
3,679 |
3,255 |
$43K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,080 |
1,547 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
2,267 |
1,989 |
$27K |
| K0003 |
Lightweight wheelchair |
1,296 |
1,064 |
$24K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
886 |
656 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,818 |
3,732 |
$15K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
16 |
12 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,525 |
1,362 |
$10K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
551 |
461 |
$7K |
| E0570 |
Nebulizer, with compressor |
716 |
650 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
540 |
474 |
$2K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
137 |
119 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
278 |
260 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
71 |
57 |
$2K |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
452 |
404 |
$256.10 |
| A7036 |
Chinstrap used with positive airway pressure device |
18 |
14 |
$103.36 |