| 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 |
7,760 |
7,579 |
$19K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
650 |
634 |
$11K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,669 |
4,629 |
$5K |
| K0001 |
Standard wheelchair |
2,743 |
2,711 |
$4K |
| 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 |
3,054 |
2,998 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
995 |
980 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
929 |
920 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,385 |
3,322 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
610 |
605 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
1,343 |
1,324 |
$1K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
301 |
298 |
$1K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,271 |
1,265 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
516 |
515 |
$796.69 |
| E0570 |
Nebulizer, with compressor |
879 |
873 |
$707.90 |
| A7037 |
Tubing used with positive airway pressure device |
673 |
669 |
$594.27 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
442 |
430 |
$551.15 |
| 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) |
345 |
344 |
$425.13 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,843 |
1,831 |
$376.96 |
| K0003 |
Lightweight wheelchair |
77 |
74 |
$361.68 |
| E0240 |
Bath/shower chair, with or without wheels, any size |
44 |
43 |
$253.11 |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
70 |
68 |
$212.29 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
84 |
84 |
$201.60 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
407 |
403 |
$138.54 |
| A7031 |
Face mask interface, replacement for full face mask, each |
147 |
145 |
$100.94 |
| E0156 |
Seat attachment, walker |
90 |
90 |
$41.20 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
78 |
78 |
$22.09 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
112 |
111 |
$5.94 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
146 |
145 |
$3.50 |
| A7036 |
Chinstrap used with positive airway pressure device |
36 |
36 |
$0.89 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
45 |
45 |
$0.49 |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
25 |
25 |
$0.00 |