| 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 |
30,539 |
25,419 |
$924K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,771 |
1,342 |
$735K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
1,147 |
619 |
$664K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
18,883 |
15,974 |
$138K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,436 |
3,166 |
$113K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
444 |
402 |
$109K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,667 |
1,377 |
$42K |
| E0570 |
Nebulizer, with compressor |
1,822 |
1,512 |
$37K |
| K0001 |
Standard wheelchair |
2,564 |
2,050 |
$36K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,565 |
3,291 |
$32K |
| A7000 |
Canister, disposable, used with suction pump, each |
1,423 |
1,219 |
$27K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
179 |
167 |
$23K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
162 |
135 |
$19K |
| A7002 |
Tubing, used with suction pump, each |
1,459 |
1,205 |
$18K |
| A7031 |
Face mask interface, replacement for full face mask, each |
852 |
761 |
$18K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
1,209 |
880 |
$17K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
77 |
62 |
$17K |
| A7526 |
Tracheostomy tube collar/holder, each |
368 |
316 |
$15K |
| A4605 |
Tracheal suction catheter, closed system, each |
89 |
71 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
449 |
413 |
$11K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
897 |
770 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
750 |
680 |
$8K |
| A7030 |
Full face mask used with positive airway pressure device, each |
155 |
140 |
$8K |
| A4217 |
Sterile water/saline, 500 ml |
170 |
127 |
$8K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
774 |
670 |
$8K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
96 |
81 |
$7K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
150 |
130 |
$7K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
270 |
228 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
111 |
105 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,695 |
1,508 |
$4K |
| A4618 |
Breathing circuits |
214 |
169 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
241 |
219 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
156 |
136 |
$4K |
| A7509 |
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each |
159 |
128 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
361 |
330 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,390 |
1,202 |
$2K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
240 |
202 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
192 |
158 |
$1K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
199 |
144 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
371 |
206 |
$697.20 |
| A4322 |
Irrigation syringe, bulb or piston, each |
44 |
41 |
$687.27 |
| B9998 |
Noc for enteral supplies |
18 |
12 |
$316.20 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
32 |
31 |
$254.07 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
40 |
37 |
$87.64 |