| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
5,193 |
5,128 |
$1.89M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
25,770 |
25,458 |
$1.28M |
| E0601 |
Continuous positive airway pressure (cpap) device |
18,659 |
18,460 |
$557K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,057 |
3,030 |
$215K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
4,773 |
4,732 |
$195K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,859 |
3,714 |
$192K |
| E0277 |
Powered pressure-reducing air mattress |
326 |
326 |
$152K |
| 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) |
1,555 |
1,546 |
$122K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,358 |
3,302 |
$108K |
| E1392 |
Portable oxygen concentrator, rental |
6,607 |
6,528 |
$108K |
| 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 |
5,781 |
5,706 |
$104K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,892 |
5,822 |
$98K |
| A7035 |
Headgear used with positive airway pressure device |
6,047 |
5,991 |
$84K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
465 |
465 |
$84K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,639 |
2,596 |
$84K |
| K0003 |
Lightweight wheelchair |
649 |
649 |
$78K |
| A7037 |
Tubing used with positive airway pressure device |
5,982 |
5,926 |
$71K |
| K0004 |
High strength, lightweight wheelchair |
283 |
283 |
$53K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,203 |
9,053 |
$34K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
967 |
959 |
$28K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,100 |
1,079 |
$28K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,522 |
1,507 |
$25K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,789 |
2,759 |
$20K |
| K0001 |
Standard wheelchair |
393 |
392 |
$16K |
| 94660 |
|
95 |
95 |
$10K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
129 |
124 |
$7K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
72 |
69 |
$7K |
| E0570 |
Nebulizer, with compressor |
218 |
214 |
$4K |
| A7036 |
Chinstrap used with positive airway pressure device |
184 |
179 |
$1K |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
52 |
52 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
445 |
443 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
26 |
26 |
$846.80 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$143.18 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
12 |
12 |
$4.91 |