| 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 |
13,849 |
11,345 |
$568K |
| E0601 |
Continuous positive airway pressure (cpap) device |
11,825 |
10,084 |
$410K |
| 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) |
2,497 |
2,024 |
$162K |
| E1399 |
Durable medical equipment, miscellaneous |
420 |
413 |
$91K |
| E0570 |
Nebulizer, with compressor |
5,409 |
4,263 |
$68K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,469 |
2,036 |
$66K |
| K0001 |
Standard wheelchair |
5,343 |
4,512 |
$45K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
7,764 |
6,730 |
$39K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,629 |
5,460 |
$37K |
| E1392 |
Portable oxygen concentrator, rental |
6,156 |
5,002 |
$36K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,637 |
1,389 |
$33K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,048 |
2,408 |
$25K |
| A7035 |
Headgear used with positive airway pressure device |
3,102 |
2,468 |
$20K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,100 |
2,449 |
$13K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
46 |
38 |
$13K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
654 |
580 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,197 |
4,198 |
$11K |
| 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) |
156 |
107 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,078 |
849 |
$10K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
390 |
344 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,006 |
1,620 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
1,114 |
949 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
281 |
248 |
$3K |
| K0003 |
Lightweight wheelchair |
233 |
219 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
1,286 |
1,099 |
$3K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
307 |
255 |
$3K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,113 |
1,002 |
$2K |
| E0156 |
Seat attachment, walker |
459 |
398 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,913 |
1,491 |
$1K |
| K0002 |
Standard hemi (low seat) wheelchair |
105 |
92 |
$823.63 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
556 |
438 |
$443.09 |
| K0006 |
Heavy duty wheelchair |
12 |
12 |
$280.39 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,109 |
2,347 |
$168.57 |