| 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 |
8,142 |
6,326 |
$327K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,235 |
4,767 |
$234K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,295 |
2,789 |
$77K |
| K0001 |
Standard wheelchair |
2,100 |
1,857 |
$44K |
| 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) |
366 |
326 |
$40K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
150 |
102 |
$37K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,694 |
2,581 |
$37K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
462 |
397 |
$15K |
| 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 |
1,338 |
1,004 |
$12K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
332 |
289 |
$11K |
| A7030 |
Full face mask used with positive airway pressure device, each |
183 |
151 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,052 |
922 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
330 |
275 |
$6K |
| A7035 |
Headgear used with positive airway pressure device |
652 |
574 |
$6K |
| E0570 |
Nebulizer, with compressor |
360 |
296 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
504 |
445 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
534 |
473 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
146 |
117 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
93 |
85 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
62 |
54 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
252 |
217 |
$1K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
14 |
12 |
$619.37 |
| E0156 |
Seat attachment, walker |
69 |
65 |
$127.14 |
| E1399 |
Durable medical equipment, miscellaneous |
39 |
13 |
$107.20 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$107.17 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
12 |
$34.45 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
12 |
12 |
$15.40 |