| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,526 |
3,258 |
$1.75M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
32,953 |
30,155 |
$1.22M |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,246 |
6,721 |
$227K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
17,099 |
15,656 |
$135K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,147 |
2,875 |
$123K |
| E0570 |
Nebulizer, with compressor |
3,423 |
3,046 |
$119K |
| 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) |
1,469 |
1,350 |
$95K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,930 |
3,332 |
$71K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
7,159 |
6,629 |
$70K |
| E1392 |
Portable oxygen concentrator, rental |
3,384 |
3,008 |
$52K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,509 |
1,382 |
$44K |
| A7035 |
Headgear used with positive airway pressure device |
3,550 |
3,250 |
$36K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,516 |
1,368 |
$35K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,327 |
1,218 |
$30K |
| A7037 |
Tubing used with positive airway pressure device |
3,889 |
3,589 |
$27K |
| K0001 |
Standard wheelchair |
2,751 |
2,498 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,452 |
5,583 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,962 |
1,792 |
$14K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
413 |
381 |
$10K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,157 |
1,112 |
$10K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
375 |
329 |
$7K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
153 |
133 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
398 |
304 |
$2K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
28 |
25 |
$861.00 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
53 |
48 |
$199.64 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
17 |
13 |
$50.91 |