| 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 |
59,850 |
55,042 |
$2.97M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,084 |
979 |
$676K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
43,257 |
40,046 |
$523K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
3,552 |
3,451 |
$266K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,868 |
4,409 |
$186K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,396 |
2,128 |
$118K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
979 |
861 |
$100K |
| 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 |
188 |
167 |
$60K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,646 |
1,456 |
$57K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
1,332 |
1,177 |
$48K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
288 |
218 |
$42K |
| A7037 |
Tubing used with positive airway pressure device |
3,553 |
3,208 |
$40K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
2,495 |
2,265 |
$34K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
769 |
745 |
$33K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,635 |
1,401 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
2,541 |
2,222 |
$28K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,396 |
1,262 |
$25K |
| K0001 |
Standard wheelchair |
1,590 |
1,383 |
$23K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
705 |
615 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
2,518 |
2,185 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,748 |
5,048 |
$17K |
| 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 |
1,661 |
1,406 |
$16K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
59 |
54 |
$12K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
614 |
496 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,076 |
915 |
$7K |
| 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) |
168 |
132 |
$5K |
| E0570 |
Nebulizer, with compressor |
354 |
327 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
234 |
182 |
$3K |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
64 |
27 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
843 |
753 |
$3K |
| 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) |
12 |
12 |
$2K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
666 |
578 |
$2K |
| E0550 |
Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery |
194 |
187 |
$1K |
| A4616 |
Tubing (oxygen), per foot |
386 |
358 |
$803.79 |
| E0156 |
Seat attachment, walker |
68 |
67 |
$706.52 |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
43 |
30 |
$595.79 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
40 |
40 |
$119.72 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
12 |
12 |
$105.58 |
| A7002 |
Tubing, used with suction pump, each |
14 |
13 |
$95.24 |
| A7000 |
Canister, disposable, used with suction pump, each |
59 |
49 |
$59.89 |
| A4615 |
Cannula, nasal |
925 |
816 |
$51.18 |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
512 |
394 |
$18.70 |
| A7015 |
Aerosol mask, used with dme nebulizer |
23 |
23 |
$0.00 |