| 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 |
12,560 |
11,885 |
$682K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,905 |
7,400 |
$445K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,538 |
2,317 |
$157K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,128 |
980 |
$155K |
| 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 |
6,455 |
6,226 |
$138K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,449 |
1,298 |
$135K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,297 |
2,094 |
$120K |
| 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) |
1,033 |
969 |
$107K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
273 |
213 |
$103K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,549 |
2,324 |
$99K |
| E1392 |
Portable oxygen concentrator, rental |
1,652 |
1,504 |
$75K |
| A7035 |
Headgear used with positive airway pressure device |
3,048 |
2,751 |
$63K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,337 |
1,190 |
$61K |
| A7037 |
Tubing used with positive airway pressure device |
3,140 |
2,834 |
$58K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
1,487 |
1,406 |
$52K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,815 |
2,638 |
$46K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,779 |
6,164 |
$35K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
834 |
779 |
$33K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
982 |
885 |
$30K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
135 |
109 |
$25K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
606 |
576 |
$23K |
| K0001 |
Standard wheelchair |
973 |
930 |
$18K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,226 |
1,142 |
$14K |
| B9002 |
Enteral nutrition infusion pump, any type |
52 |
51 |
$5K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
90 |
82 |
$4K |
| A7526 |
Tracheostomy tube collar/holder, each |
61 |
53 |
$3K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
194 |
154 |
$2K |
| E0776 |
Iv pole |
13 |
13 |
$354.02 |
| A7000 |
Canister, disposable, used with suction pump, each |
44 |
40 |
$352.83 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
36 |
36 |
$255.32 |
| A7036 |
Chinstrap used with positive airway pressure device |
12 |
12 |
$99.01 |