| 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 |
53,018 |
46,274 |
$2.54M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,806 |
3,182 |
$1.48M |
| 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 |
30,896 |
27,378 |
$575K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,384 |
6,947 |
$440K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,860 |
1,626 |
$211K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
4,985 |
4,448 |
$209K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,832 |
2,372 |
$156K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,521 |
8,377 |
$131K |
| K0001 |
Standard wheelchair |
4,139 |
3,914 |
$118K |
| 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) |
1,375 |
1,147 |
$94K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,573 |
3,175 |
$93K |
| A7035 |
Headgear used with positive airway pressure device |
5,951 |
5,237 |
$92K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
1,542 |
1,398 |
$90K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,050 |
2,692 |
$77K |
| E1392 |
Portable oxygen concentrator, rental |
5,919 |
5,299 |
$75K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,281 |
1,866 |
$58K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
202 |
191 |
$52K |
| A7037 |
Tubing used with positive airway pressure device |
4,366 |
3,819 |
$50K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,373 |
7,436 |
$48K |
| E0570 |
Nebulizer, with compressor |
939 |
865 |
$35K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,574 |
3,211 |
$32K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
269 |
247 |
$11K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
483 |
454 |
$10K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
323 |
290 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
397 |
329 |
$8K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
524 |
463 |
$6K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
205 |
172 |
$4K |
| A7036 |
Chinstrap used with positive airway pressure device |
298 |
278 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
467 |
407 |
$3K |
| K0003 |
Lightweight wheelchair |
45 |
37 |
$1K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
48 |
38 |
$348.37 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
435 |
385 |
$207.81 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
395 |
355 |
$167.13 |