| 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 |
3,760 |
3,680 |
$141K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
403 |
398 |
$63K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,265 |
3,251 |
$55K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,094 |
1,084 |
$27K |
| K0001 |
Standard wheelchair |
1,186 |
1,168 |
$25K |
| 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 |
1,638 |
1,613 |
$21K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
187 |
186 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
324 |
320 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
1,236 |
1,227 |
$11K |
| A7030 |
Full face mask used with positive airway pressure device, each |
303 |
300 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,890 |
1,873 |
$10K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
664 |
660 |
$10K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
950 |
932 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
469 |
458 |
$7K |
| A7037 |
Tubing used with positive airway pressure device |
742 |
737 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
176 |
175 |
$4K |
| 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) |
132 |
132 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
549 |
547 |
$3K |
| E0570 |
Nebulizer, with compressor |
825 |
825 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
46 |
39 |
$946.62 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
78 |
77 |
$717.81 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
37 |
37 |
$540.96 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
16 |
16 |
$496.31 |
| A7036 |
Chinstrap used with positive airway pressure device |
38 |
38 |
$239.46 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
16 |
12 |
$159.35 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
146 |
146 |
$0.00 |