| 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 |
44,258 |
43,786 |
$1.78M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,327 |
2,316 |
$491K |
| A7030 |
Full face mask used with positive airway pressure device, each |
6,085 |
6,057 |
$312K |
| E0570 |
Nebulizer, with compressor |
22,220 |
22,100 |
$287K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
28,843 |
28,514 |
$241K |
| A7031 |
Face mask interface, replacement for full face mask, each |
8,729 |
8,662 |
$211K |
| K0001 |
Standard wheelchair |
9,266 |
9,213 |
$126K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,267 |
5,221 |
$110K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,085 |
3,063 |
$94K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,808 |
3,783 |
$79K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,244 |
2,217 |
$69K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,458 |
2,432 |
$68K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,530 |
4,491 |
$56K |
| A7035 |
Headgear used with positive airway pressure device |
5,198 |
5,169 |
$53K |
| A7037 |
Tubing used with positive airway pressure device |
5,327 |
5,300 |
$46K |
| E1392 |
Portable oxygen concentrator, rental |
4,646 |
4,595 |
$46K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
13,501 |
13,323 |
$41K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
6,552 |
6,525 |
$36K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,777 |
1,750 |
$36K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,698 |
1,686 |
$23K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,984 |
3,963 |
$23K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
240 |
239 |
$19K |
| 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) |
442 |
440 |
$17K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,131 |
2,123 |
$15K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
9,326 |
9,039 |
$12K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
233 |
228 |
$11K |
| E0483 |
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each |
50 |
50 |
$7K |
| E2201 |
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
250 |
250 |
$4K |
| K0006 |
Heavy duty wheelchair |
95 |
95 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
779 |
776 |
$3K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
1,242 |
1,238 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
2,103 |
2,075 |
$2K |
| E0156 |
Seat attachment, walker |
251 |
251 |
$2K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
311 |
311 |
$2K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
3,724 |
3,706 |
$2K |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
61 |
61 |
$1K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
207 |
207 |
$1K |
| E2603 |
Skin protection wheelchair seat cushion, width less than 22 inches, any depth |
12 |
12 |
$748.65 |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
53 |
50 |
$409.87 |