| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
677 |
524 |
$301K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,055 |
1,848 |
$227K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,041 |
1,641 |
$169K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
267 |
161 |
$146K |
| E0570 |
Nebulizer, with compressor |
676 |
567 |
$52K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
182 |
155 |
$42K |
| A7031 |
Face mask interface, replacement for full face mask, each |
875 |
724 |
$39K |
| 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 |
1,212 |
1,101 |
$37K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
389 |
292 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
867 |
689 |
$17K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
274 |
217 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,849 |
1,526 |
$15K |
| K0001 |
Standard wheelchair |
481 |
394 |
$14K |
| A7030 |
Full face mask used with positive airway pressure device, each |
158 |
127 |
$14K |
| A7526 |
Tracheostomy tube collar/holder, each |
137 |
116 |
$8K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
200 |
193 |
$7K |
| A7000 |
Canister, disposable, used with suction pump, each |
425 |
368 |
$3K |
| A7002 |
Tubing, used with suction pump, each |
559 |
397 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
102 |
88 |
$2K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
61 |
60 |
$2K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
633 |
288 |
$2K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
17 |
16 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
100 |
85 |
$2K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
76 |
67 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
152 |
109 |
$1K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
18 |
12 |
$923.74 |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
13 |
12 |
$607.40 |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
43 |
38 |
$386.45 |
| A7037 |
Tubing used with positive airway pressure device |
82 |
76 |
$338.84 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
110 |
77 |
$210.41 |
| A7020 |
Interface for cough stimulating device, includes all components, replacement only |
15 |
12 |
$162.39 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
100 |
86 |
$154.01 |
| A7015 |
Aerosol mask, used with dme nebulizer |
86 |
68 |
$125.83 |