| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,307 |
1,497 |
$747K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
16,416 |
11,876 |
$579K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,619 |
3,357 |
$117K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,221 |
8,004 |
$69K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,403 |
1,669 |
$59K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,299 |
3,229 |
$45K |
| K0003 |
Lightweight wheelchair |
3,816 |
2,517 |
$42K |
| E0570 |
Nebulizer, with compressor |
2,282 |
1,681 |
$20K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,936 |
1,344 |
$18K |
| A7037 |
Tubing used with positive airway pressure device |
3,082 |
2,159 |
$15K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,937 |
1,192 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
1,859 |
1,337 |
$12K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
4,116 |
2,734 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,536 |
2,514 |
$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) |
107 |
75 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
316 |
271 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,334 |
929 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
135 |
89 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
47 |
39 |
$1K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
129 |
88 |
$661.37 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
45 |
25 |
$645.45 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
343 |
262 |
$594.25 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
457 |
327 |
$349.22 |
| E0156 |
Seat attachment, walker |
20 |
15 |
$74.49 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
19 |
12 |
$18.65 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
22 |
12 |
$10.14 |