| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
16,708 |
13,066 |
$537K |
| A7030 |
Full face mask used with positive airway pressure device, each |
6,952 |
5,209 |
$357K |
| A7031 |
Face mask interface, replacement for full face mask, each |
10,713 |
8,494 |
$303K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,325 |
1,071 |
$279K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
7,850 |
6,424 |
$259K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
6,993 |
5,406 |
$229K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
6,470 |
5,135 |
$222K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
16,802 |
13,093 |
$179K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
8,202 |
6,213 |
$168K |
| 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) |
2,313 |
1,637 |
$125K |
| A7035 |
Headgear used with positive airway pressure device |
8,392 |
6,395 |
$93K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
23,015 |
18,384 |
$81K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
3,142 |
2,475 |
$70K |
| A7037 |
Tubing used with positive airway pressure device |
5,774 |
4,472 |
$57K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
6,072 |
4,623 |
$38K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,820 |
2,217 |
$20K |
| E0570 |
Nebulizer, with compressor |
1,623 |
1,290 |
$14K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
572 |
426 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
949 |
709 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
175 |
142 |
$4K |
| E0619 |
Apnea monitor, with recording feature |
13 |
12 |
$2K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
12 |
12 |
$1K |
| K0001 |
Standard wheelchair |
220 |
175 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
716 |
580 |
$875.45 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
151 |
122 |
$801.31 |
| E0156 |
Seat attachment, walker |
115 |
86 |
$668.87 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
320 |
212 |
$142.07 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
27 |
27 |
$124.12 |
| A7015 |
Aerosol mask, used with dme nebulizer |
48 |
40 |
$42.20 |