| 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 |
34,480 |
33,666 |
$1.53M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,812 |
1,803 |
$652K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,539 |
2,523 |
$208K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
22,902 |
22,379 |
$194K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,266 |
4,219 |
$147K |
| E0570 |
Nebulizer, with compressor |
13,909 |
13,687 |
$124K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,552 |
3,426 |
$112K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,365 |
2,356 |
$71K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,536 |
1,524 |
$63K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,760 |
1,745 |
$60K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
131 |
131 |
$46K |
| A7035 |
Headgear used with positive airway pressure device |
2,527 |
2,513 |
$41K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,556 |
7,444 |
$35K |
| A7037 |
Tubing used with positive airway pressure device |
1,804 |
1,787 |
$24K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
754 |
751 |
$23K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,418 |
2,367 |
$19K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,754 |
1,747 |
$18K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,649 |
1,626 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
1,017 |
988 |
$13K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
922 |
909 |
$12K |
| K0001 |
Standard wheelchair |
1,976 |
1,942 |
$12K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
509 |
501 |
$8K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
59 |
59 |
$5K |
| 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) |
69 |
68 |
$5K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,429 |
3,293 |
$4K |
| E0156 |
Seat attachment, walker |
314 |
313 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,203 |
1,182 |
$1K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
313 |
310 |
$961.80 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
275 |
272 |
$872.63 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,120 |
1,103 |
$400.73 |
| K0003 |
Lightweight wheelchair |
25 |
25 |
$273.38 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
12 |
12 |
$29.74 |