| 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 |
15,837 |
13,040 |
$793K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,380 |
4,776 |
$371K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,572 |
1,319 |
$315K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,256 |
2,723 |
$148K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,022 |
1,665 |
$135K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,237 |
1,026 |
$116K |
| 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 |
6,447 |
5,317 |
$104K |
| K0001 |
Standard wheelchair |
3,980 |
3,597 |
$86K |
| 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) |
807 |
667 |
$84K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,100 |
2,596 |
$83K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,671 |
2,083 |
$73K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,606 |
1,314 |
$69K |
| A7035 |
Headgear used with positive airway pressure device |
3,833 |
3,212 |
$57K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,064 |
4,216 |
$50K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
765 |
634 |
$41K |
| E0570 |
Nebulizer, with compressor |
695 |
594 |
$36K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
837 |
707 |
$36K |
| A7037 |
Tubing used with positive airway pressure device |
2,195 |
1,865 |
$32K |
| E1392 |
Portable oxygen concentrator, rental |
2,441 |
2,103 |
$31K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,657 |
2,234 |
$26K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
322 |
290 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,927 |
1,613 |
$14K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
488 |
395 |
$11K |
| K0007 |
Extra heavy duty wheelchair |
93 |
89 |
$6K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
170 |
141 |
$4K |
| K0003 |
Lightweight wheelchair |
130 |
118 |
$4K |
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
125 |
107 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
294 |
264 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
73 |
68 |
$2K |
| B9998 |
Noc for enteral supplies |
39 |
26 |
$1K |
| A7036 |
Chinstrap used with positive airway pressure device |
115 |
103 |
$932.21 |
| E0184 |
Dry pressure mattress |
150 |
127 |
$858.45 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
53 |
50 |
$375.19 |
| E0156 |
Seat attachment, walker |
30 |
25 |
$294.18 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
14 |
12 |
$262.68 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
137 |
117 |
$207.54 |
| A7015 |
Aerosol mask, used with dme nebulizer |
38 |
38 |
$49.28 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
42 |
38 |
$27.05 |