| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
4,109 |
3,765 |
$1.53M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
17,804 |
16,766 |
$791K |
| A7030 |
Full face mask used with positive airway pressure device, each |
5,488 |
5,206 |
$345K |
| A7031 |
Face mask interface, replacement for full face mask, each |
9,667 |
9,249 |
$293K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,753 |
7,435 |
$258K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,107 |
3,000 |
$100K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,809 |
12,028 |
$97K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
8,348 |
8,018 |
$92K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,195 |
2,104 |
$87K |
| A7037 |
Tubing used with positive airway pressure device |
7,374 |
7,030 |
$77K |
| A7035 |
Headgear used with positive airway pressure device |
4,475 |
4,261 |
$60K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
14,994 |
14,357 |
$55K |
| E0570 |
Nebulizer, with compressor |
5,536 |
5,208 |
$50K |
| K0003 |
Lightweight wheelchair |
3,398 |
3,103 |
$46K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,664 |
1,525 |
$34K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,320 |
3,179 |
$26K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
1,069 |
971 |
$16K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
618 |
610 |
$15K |
| K0001 |
Standard wheelchair |
1,373 |
1,273 |
$14K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
288 |
261 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
4,368 |
3,996 |
$5K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
738 |
677 |
$5K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
493 |
485 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
94 |
90 |
$2K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
17 |
12 |
$188.66 |
| E0156 |
Seat attachment, walker |
12 |
12 |
$78.75 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
214 |
203 |
$69.37 |
| A7014 |
Filter, nondisposable, used with aerosol compressor or ultrasonic generator |
27 |
26 |
$60.84 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
12 |
12 |
$13.60 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
132 |
110 |
$0.00 |