| 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 |
19,818 |
17,770 |
$812K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,643 |
4,249 |
$256K |
| 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 |
9,700 |
8,767 |
$168K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
527 |
457 |
$140K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,309 |
2,905 |
$135K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,871 |
1,612 |
$101K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,338 |
2,989 |
$88K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
563 |
490 |
$63K |
| K0001 |
Standard wheelchair |
2,994 |
2,711 |
$59K |
| A7035 |
Headgear used with positive airway pressure device |
3,902 |
3,464 |
$59K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,545 |
1,312 |
$40K |
| E1392 |
Portable oxygen concentrator, rental |
3,507 |
3,233 |
$39K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
721 |
636 |
$39K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,462 |
1,278 |
$39K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,793 |
5,110 |
$33K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,036 |
2,760 |
$32K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,024 |
889 |
$25K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
912 |
821 |
$23K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,636 |
2,385 |
$23K |
| K0003 |
Lightweight wheelchair |
441 |
417 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
1,965 |
1,712 |
$19K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
640 |
572 |
$16K |
| 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) |
161 |
129 |
$6K |
| E0570 |
Nebulizer, with compressor |
254 |
242 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
248 |
222 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
149 |
127 |
$3K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
54 |
48 |
$2K |
| A7036 |
Chinstrap used with positive airway pressure device |
105 |
97 |
$730.59 |
| E0156 |
Seat attachment, walker |
54 |
41 |
$349.41 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
13 |
12 |
$320.64 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
43 |
37 |
$287.16 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
70 |
59 |
$265.05 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
29 |
24 |
$18.00 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
13 |
$3.76 |