| 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 |
15,324 |
13,026 |
$447K |
| A7030 |
Full face mask used with positive airway pressure device, each |
5,410 |
4,695 |
$366K |
| E0601 |
Continuous positive airway pressure (cpap) device |
11,503 |
9,780 |
$302K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
868 |
739 |
$172K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,563 |
3,072 |
$150K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
9,045 |
7,773 |
$130K |
| A7037 |
Tubing used with positive airway pressure device |
8,292 |
7,206 |
$120K |
| A7035 |
Headgear used with positive airway pressure device |
6,789 |
5,928 |
$108K |
| 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) |
1,859 |
1,605 |
$66K |
| E1392 |
Portable oxygen concentrator, rental |
7,179 |
6,086 |
$59K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,130 |
1,821 |
$36K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,779 |
8,479 |
$32K |
| E0570 |
Nebulizer, with compressor |
4,334 |
3,705 |
$29K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
5,014 |
4,365 |
$24K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
388 |
362 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,419 |
2,144 |
$15K |
| K0001 |
Standard wheelchair |
2,936 |
2,542 |
$14K |
| 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 |
2,646 |
2,358 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,278 |
1,105 |
$11K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
737 |
632 |
$7K |
| 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 |
53 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
727 |
616 |
$6K |
| E0635 |
Patient lift, electric with seat or sling |
60 |
54 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
154 |
111 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
213 |
179 |
$1K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
29 |
24 |
$567.55 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
48 |
42 |
$367.38 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$12.64 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
12 |
$6.84 |