| 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 |
13,211 |
11,240 |
$621K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
582 |
489 |
$309K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,018 |
5,585 |
$259K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,988 |
5,304 |
$182K |
| 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) |
969 |
891 |
$101K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
785 |
759 |
$70K |
| K0001 |
Standard wheelchair |
3,404 |
3,106 |
$69K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,161 |
2,990 |
$50K |
| E1392 |
Portable oxygen concentrator, rental |
3,325 |
2,768 |
$34K |
| A7030 |
Full face mask used with positive airway pressure device, each |
634 |
538 |
$26K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
877 |
687 |
$23K |
| E0570 |
Nebulizer, with compressor |
1,236 |
1,072 |
$21K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
582 |
513 |
$21K |
| E1399 |
Durable medical equipment, miscellaneous |
1,022 |
284 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
1,339 |
1,137 |
$15K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
633 |
517 |
$14K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,899 |
1,581 |
$13K |
| A7035 |
Headgear used with positive airway pressure device |
1,023 |
863 |
$9K |
| A7031 |
Face mask interface, replacement for full face mask, each |
456 |
389 |
$9K |
| 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 |
839 |
711 |
$8K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
108 |
104 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
118 |
90 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
425 |
352 |
$2K |
| K0003 |
Lightweight wheelchair |
57 |
50 |
$2K |
| K0007 |
Extra heavy duty wheelchair |
26 |
24 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
87 |
80 |
$2K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
16 |
13 |
$666.94 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
76 |
68 |
$656.79 |
| E0156 |
Seat attachment, walker |
139 |
115 |
$569.45 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
34 |
30 |
$277.45 |
| A7036 |
Chinstrap used with positive airway pressure device |
18 |
12 |
$36.38 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
12 |
$17.07 |