| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
10,549 |
10,526 |
$5.03M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
14,420 |
14,333 |
$1.37M |
| E0601 |
Continuous positive airway pressure (cpap) device |
11,533 |
11,427 |
$637K |
| 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) |
2,871 |
2,861 |
$435K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
14,500 |
14,395 |
$268K |
| K0001 |
Standard wheelchair |
6,087 |
6,007 |
$209K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,040 |
10,993 |
$192K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
4,129 |
2,433 |
$145K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,891 |
1,854 |
$122K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
1,118 |
1,101 |
$89K |
| E0570 |
Nebulizer, with compressor |
3,394 |
3,346 |
$54K |
| A7030 |
Full face mask used with positive airway pressure device, each |
577 |
575 |
$42K |
| A7035 |
Headgear used with positive airway pressure device |
1,673 |
1,664 |
$40K |
| A7037 |
Tubing used with positive airway pressure device |
1,621 |
1,613 |
$35K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
342 |
336 |
$25K |
| K0003 |
Lightweight wheelchair |
396 |
388 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,693 |
2,552 |
$19K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
251 |
251 |
$17K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
410 |
405 |
$17K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,100 |
1,069 |
$15K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,656 |
1,643 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
420 |
419 |
$12K |
| E0245 |
Tub stool or bench |
290 |
290 |
$12K |
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
13 |
13 |
$11K |
| E0156 |
Seat attachment, walker |
699 |
678 |
$10K |
| E0305 |
Bed side rails, half length |
789 |
773 |
$9K |
| E0271 |
Mattress, innerspring |
650 |
635 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
253 |
252 |
$8K |
| L0648 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
13 |
13 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
563 |
563 |
$7K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
122 |
122 |
$7K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
67 |
65 |
$6K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
352 |
341 |
$5K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
54 |
53 |
$4K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
15 |
12 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
155 |
150 |
$4K |
| A7000 |
Canister, disposable, used with suction pump, each |
243 |
232 |
$4K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
76 |
76 |
$3K |
| A7526 |
Tracheostomy tube collar/holder, each |
37 |
37 |
$3K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
51 |
50 |
$3K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
50 |
34 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
58 |
56 |
$2K |
| A7002 |
Tubing, used with suction pump, each |
187 |
179 |
$1K |
| E0310 |
Bed side rails, full length |
38 |
37 |
$538.16 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$87.40 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
13 |
12 |
$85.10 |