| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,825 |
1,745 |
$321K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
6,516 |
5,591 |
$243K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,001 |
974 |
$124K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,665 |
1,632 |
$109K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,396 |
1,373 |
$57K |
| A7030 |
Full face mask used with positive airway pressure device, each |
512 |
500 |
$49K |
| A7035 |
Headgear used with positive airway pressure device |
1,853 |
1,812 |
$39K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,468 |
2,272 |
$32K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
920 |
843 |
$30K |
| K0001 |
Standard wheelchair |
1,534 |
1,442 |
$30K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
609 |
605 |
$24K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
273 |
246 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
1,204 |
1,099 |
$22K |
| A7037 |
Tubing used with positive airway pressure device |
1,065 |
1,035 |
$22K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,508 |
2,202 |
$21K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
367 |
167 |
$18K |
| A7031 |
Face mask interface, replacement for full face mask, each |
243 |
229 |
$14K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
63 |
52 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
879 |
858 |
$10K |
| A7036 |
Chinstrap used with positive airway pressure device |
889 |
882 |
$9K |
| B9002 |
Enteral nutrition infusion pump, any type |
250 |
211 |
$8K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
90 |
85 |
$7K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
51 |
49 |
$6K |
| 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 |
344 |
285 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
55 |
55 |
$4K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
105 |
103 |
$4K |
| B9998 |
Noc for enteral supplies |
27 |
24 |
$3K |
| E0570 |
Nebulizer, with compressor |
231 |
214 |
$1K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
31 |
25 |
$343.62 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
15 |
13 |
$201.39 |