| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,650 |
3,593 |
$2.09M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
16,224 |
15,433 |
$1.17M |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,075 |
6,860 |
$351K |
| K0001 |
Standard wheelchair |
7,039 |
6,832 |
$229K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,529 |
2,420 |
$146K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
124 |
116 |
$145K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,571 |
2,516 |
$126K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,639 |
7,360 |
$126K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,908 |
1,852 |
$115K |
| 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) |
525 |
514 |
$100K |
| E1392 |
Portable oxygen concentrator, rental |
3,003 |
2,842 |
$74K |
| 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 |
3,489 |
3,382 |
$73K |
| A7030 |
Full face mask used with positive airway pressure device, each |
849 |
821 |
$61K |
| A7035 |
Headgear used with positive airway pressure device |
2,529 |
2,451 |
$57K |
| A7037 |
Tubing used with positive airway pressure device |
2,486 |
2,423 |
$48K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
996 |
971 |
$43K |
| E0570 |
Nebulizer, with compressor |
2,011 |
1,986 |
$39K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
849 |
825 |
$38K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,095 |
3,965 |
$37K |
| K0007 |
Extra heavy duty wheelchair |
306 |
305 |
$37K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
355 |
353 |
$29K |
| A7031 |
Face mask interface, replacement for full face mask, each |
609 |
591 |
$29K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
999 |
910 |
$28K |
| 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) |
90 |
89 |
$26K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
465 |
433 |
$22K |
| K0003 |
Lightweight wheelchair |
336 |
332 |
$15K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
434 |
420 |
$14K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
406 |
359 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,001 |
969 |
$10K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
241 |
226 |
$8K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
527 |
501 |
$5K |
| A7000 |
Canister, disposable, used with suction pump, each |
128 |
98 |
$4K |
| E0156 |
Seat attachment, walker |
262 |
259 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
249 |
245 |
$4K |
| E0305 |
Bed side rails, half length |
225 |
223 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
160 |
157 |
$3K |
| A7036 |
Chinstrap used with positive airway pressure device |
273 |
262 |
$3K |
| E0271 |
Mattress, innerspring |
152 |
151 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
127 |
126 |
$1K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
13 |
12 |
$290.78 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
243 |
239 |
$152.70 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$17.83 |