| 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 |
15,331 |
13,492 |
$907K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,539 |
4,125 |
$238K |
| 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 |
9,289 |
8,485 |
$177K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,809 |
1,539 |
$104K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,110 |
957 |
$92K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,485 |
1,276 |
$79K |
| 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) |
689 |
623 |
$73K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,412 |
1,223 |
$65K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
151 |
99 |
$59K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,401 |
1,268 |
$59K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,572 |
1,342 |
$52K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
419 |
301 |
$46K |
| A7035 |
Headgear used with positive airway pressure device |
2,201 |
1,868 |
$43K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,254 |
1,123 |
$42K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,171 |
1,938 |
$36K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,199 |
5,403 |
$28K |
| A7037 |
Tubing used with positive airway pressure device |
1,305 |
1,110 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
1,202 |
1,046 |
$16K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
38 |
36 |
$11K |
| K0001 |
Standard wheelchair |
602 |
511 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,023 |
932 |
$10K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
242 |
231 |
$8K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
198 |
170 |
$5K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
100 |
97 |
$3K |
| A7000 |
Canister, disposable, used with suction pump, each |
204 |
126 |
$2K |
| A7526 |
Tracheostomy tube collar/holder, each |
20 |
15 |
$554.71 |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
45 |
37 |
$309.61 |
| E0570 |
Nebulizer, with compressor |
63 |
60 |
$248.05 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
28 |
24 |
$58.33 |