| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
4,227 |
3,807 |
$1.32M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
29,843 |
27,863 |
$1.31M |
| A7030 |
Full face mask used with positive airway pressure device, each |
4,708 |
4,512 |
$275K |
| A7031 |
Face mask interface, replacement for full face mask, each |
8,413 |
8,061 |
$262K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,499 |
5,178 |
$174K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14,145 |
13,233 |
$115K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
949 |
925 |
$97K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,742 |
6,414 |
$79K |
| A7037 |
Tubing used with positive airway pressure device |
5,776 |
5,527 |
$67K |
| A7035 |
Headgear used with positive airway pressure device |
3,550 |
3,389 |
$44K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,290 |
1,226 |
$43K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
11,949 |
11,403 |
$41K |
| 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) |
334 |
327 |
$34K |
| E0570 |
Nebulizer, with compressor |
5,652 |
5,208 |
$33K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,006 |
974 |
$26K |
| K0001 |
Standard wheelchair |
2,467 |
2,300 |
$24K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
748 |
705 |
$21K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
849 |
829 |
$20K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,844 |
2,705 |
$18K |
| E1392 |
Portable oxygen concentrator, rental |
2,527 |
2,284 |
$15K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
329 |
312 |
$8K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
459 |
411 |
$4K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
217 |
203 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,862 |
3,523 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
257 |
242 |
$810.16 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
142 |
135 |
$447.53 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
28 |
26 |
$126.34 |
| E0776 |
Iv pole |
14 |
12 |
$69.63 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
211 |
186 |
$0.00 |