| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,425 |
3,384 |
$2.24M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
31,045 |
30,569 |
$2.00M |
| 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 |
13,678 |
13,491 |
$319K |
| K0001 |
Standard wheelchair |
10,264 |
10,025 |
$305K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,104 |
6,063 |
$246K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
3,901 |
3,840 |
$184K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,649 |
9,467 |
$151K |
| 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) |
1,220 |
1,204 |
$137K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,054 |
2,003 |
$112K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,938 |
1,919 |
$94K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,903 |
2,866 |
$83K |
| E0570 |
Nebulizer, with compressor |
4,494 |
4,466 |
$72K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,388 |
1,377 |
$70K |
| K0007 |
Extra heavy duty wheelchair |
663 |
657 |
$68K |
| K0003 |
Lightweight wheelchair |
1,488 |
1,450 |
$59K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
2,052 |
2,022 |
$55K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
1,038 |
1,019 |
$53K |
| A7035 |
Headgear used with positive airway pressure device |
2,972 |
2,945 |
$52K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
916 |
911 |
$48K |
| A7037 |
Tubing used with positive airway pressure device |
2,383 |
2,361 |
$38K |
| A7031 |
Face mask interface, replacement for full face mask, each |
968 |
959 |
$35K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
988 |
975 |
$34K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,456 |
4,417 |
$33K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,014 |
1,006 |
$24K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
194 |
193 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
780 |
773 |
$18K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,793 |
1,784 |
$15K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
730 |
715 |
$12K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
476 |
457 |
$12K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
439 |
434 |
$7K |
| 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) |
26 |
25 |
$6K |
| E0305 |
Bed side rails, half length |
674 |
663 |
$6K |
| E0271 |
Mattress, innerspring |
370 |
367 |
$5K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
51 |
51 |
$3K |
| E0156 |
Seat attachment, walker |
186 |
185 |
$2K |
| A7000 |
Canister, disposable, used with suction pump, each |
58 |
49 |
$1K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
13 |
12 |
$882.45 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
13 |
$320.98 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
630 |
626 |
$319.36 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
29 |
29 |
$217.47 |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
12 |
12 |
$215.63 |