| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,672 |
1,190 |
$870K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
15,397 |
11,119 |
$572K |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,165 |
6,090 |
$279K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,886 |
1,338 |
$99K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,585 |
1,812 |
$88K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
162 |
120 |
$56K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,187 |
6,070 |
$53K |
| 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) |
454 |
318 |
$29K |
| A7035 |
Headgear used with positive airway pressure device |
2,665 |
1,926 |
$23K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
923 |
693 |
$22K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,787 |
1,258 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
2,098 |
1,474 |
$18K |
| E1392 |
Portable oxygen concentrator, rental |
867 |
694 |
$12K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
432 |
324 |
$10K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,297 |
987 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,454 |
3,206 |
$9K |
| E0570 |
Nebulizer, with compressor |
635 |
469 |
$7K |
| K0003 |
Lightweight wheelchair |
187 |
151 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
736 |
576 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
169 |
135 |
$2K |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
15 |
12 |
$1K |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
1,239 |
868 |
$968.96 |
| K0001 |
Standard wheelchair |
73 |
54 |
$885.93 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
40 |
25 |
$497.37 |
| A7000 |
Canister, disposable, used with suction pump, each |
16 |
13 |
$443.65 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
111 |
87 |
$322.58 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
20 |
14 |
$256.78 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
30 |
27 |
$209.84 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
20 |
13 |
$33.90 |