| 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 |
9,941 |
9,864 |
$398K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,575 |
2,542 |
$387K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,014 |
3,994 |
$184K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,812 |
1,783 |
$83K |
| 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) |
487 |
486 |
$63K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,066 |
1,053 |
$62K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,193 |
4,163 |
$47K |
| K0001 |
Standard wheelchair |
2,428 |
2,403 |
$45K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,164 |
1,133 |
$34K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,376 |
3,334 |
$31K |
| A7035 |
Headgear used with positive airway pressure device |
1,205 |
1,181 |
$24K |
| A7037 |
Tubing used with positive airway pressure device |
1,066 |
1,051 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,708 |
1,684 |
$16K |
| A7030 |
Full face mask used with positive airway pressure device, each |
178 |
175 |
$15K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,024 |
1,004 |
$14K |
| E0570 |
Nebulizer, with compressor |
2,543 |
2,542 |
$14K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
116 |
115 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
351 |
351 |
$4K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
186 |
185 |
$3K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
155 |
154 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
127 |
126 |
$3K |
| A7036 |
Chinstrap used with positive airway pressure device |
165 |
164 |
$2K |
| A7031 |
Face mask interface, replacement for full face mask, each |
28 |
28 |
$2K |
| K0003 |
Lightweight wheelchair |
78 |
76 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
13 |
$948.52 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
62 |
59 |
$539.49 |
| E1392 |
Portable oxygen concentrator, rental |
25 |
25 |
$357.20 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
67 |
67 |
$239.69 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
30 |
29 |
$11.63 |