| 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 |
9,141 |
8,192 |
$327K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,827 |
5,476 |
$135K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
889 |
752 |
$116K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,717 |
1,527 |
$67K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
886 |
808 |
$65K |
| A7030 |
Full face mask used with positive airway pressure device, each |
984 |
866 |
$58K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,647 |
1,485 |
$47K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,764 |
2,485 |
$46K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
87 |
65 |
$44K |
| 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 |
2,598 |
2,381 |
$39K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,478 |
1,309 |
$38K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,239 |
1,083 |
$33K |
| E1392 |
Portable oxygen concentrator, rental |
2,217 |
2,033 |
$33K |
| A7035 |
Headgear used with positive airway pressure device |
2,019 |
1,815 |
$25K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
904 |
879 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,477 |
3,990 |
$18K |
| A7037 |
Tubing used with positive airway pressure device |
1,299 |
1,166 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,252 |
1,119 |
$10K |
| K0001 |
Standard wheelchair |
898 |
849 |
$10K |
| 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) |
199 |
177 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
119 |
104 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
57 |
57 |
$1K |
| A7036 |
Chinstrap used with positive airway pressure device |
84 |
76 |
$611.14 |
| E0570 |
Nebulizer, with compressor |
37 |
37 |
$485.26 |