| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,361 |
2,331 |
$1.67M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
9,064 |
8,956 |
$913K |
| 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 |
2,444 |
2,298 |
$97K |
| K0001 |
Standard wheelchair |
2,643 |
2,617 |
$94K |
| E1392 |
Portable oxygen concentrator, rental |
2,254 |
2,201 |
$84K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,202 |
1,189 |
$72K |
| 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) |
467 |
467 |
$70K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,263 |
1,253 |
$57K |
| K0003 |
Lightweight wheelchair |
1,121 |
1,113 |
$53K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,213 |
2,066 |
$48K |
| E0570 |
Nebulizer, with compressor |
1,696 |
1,690 |
$28K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
376 |
362 |
$22K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
358 |
348 |
$19K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
215 |
213 |
$12K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
118 |
117 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
420 |
416 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
578 |
575 |
$6K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
95 |
90 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
223 |
221 |
$4K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
39 |
38 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
44 |
44 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
14 |
14 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
44 |
44 |
$608.84 |
| E0271 |
Mattress, innerspring |
28 |
28 |
$413.76 |