| 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 |
15,119 |
12,938 |
$414K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,107 |
5,046 |
$157K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,316 |
8,824 |
$66K |
| E0570 |
Nebulizer, with compressor |
4,666 |
3,754 |
$57K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,681 |
2,270 |
$47K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,285 |
1,115 |
$45K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,841 |
3,036 |
$43K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,295 |
2,026 |
$42K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
103 |
87 |
$41K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,939 |
1,606 |
$32K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,051 |
901 |
$27K |
| K0001 |
Standard wheelchair |
3,104 |
2,578 |
$25K |
| A7035 |
Headgear used with positive airway pressure device |
2,145 |
1,826 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,319 |
3,460 |
$8K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
277 |
252 |
$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) |
108 |
91 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
393 |
329 |
$6K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
5,532 |
2,337 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
413 |
369 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
359 |
295 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
117 |
107 |
$2K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
36 |
25 |
$848.30 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
924 |
781 |
$377.42 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
622 |
493 |
$314.10 |
| E0978 |
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
13 |
12 |
$175.04 |
| E0156 |
Seat attachment, walker |
15 |
13 |
$88.59 |