| 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 |
123,024 |
107,543 |
$5.92M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
6,311 |
5,464 |
$2.55M |
| 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 |
40,998 |
36,900 |
$955K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
39,816 |
36,679 |
$538K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
7,638 |
7,281 |
$524K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,875 |
6,588 |
$214K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,453 |
1,472 |
$212K |
| A7030 |
Full face mask used with positive airway pressure device, each |
5,260 |
3,181 |
$152K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
5,054 |
2,901 |
$85K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
1,839 |
1,524 |
$66K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
4,993 |
4,326 |
$66K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,055 |
2,520 |
$58K |
| A7037 |
Tubing used with positive airway pressure device |
6,487 |
4,364 |
$56K |
| E1392 |
Portable oxygen concentrator, rental |
4,891 |
4,427 |
$52K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
1,145 |
1,080 |
$47K |
| A7035 |
Headgear used with positive airway pressure device |
7,256 |
4,303 |
$43K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,058 |
1,709 |
$36K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,818 |
1,403 |
$31K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
953 |
654 |
$29K |
| E0570 |
Nebulizer, with compressor |
2,462 |
1,840 |
$28K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
5,317 |
3,165 |
$23K |
| K0001 |
Standard wheelchair |
2,967 |
2,297 |
$23K |
| 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) |
509 |
397 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,374 |
5,937 |
$17K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,266 |
691 |
$13K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
908 |
439 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
593 |
443 |
$8K |
| 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) |
39 |
38 |
$6K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
461 |
295 |
$4K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
134 |
62 |
$2K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
20 |
13 |
$856.27 |
| E0156 |
Seat attachment, walker |
17 |
13 |
$101.44 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
197 |
127 |
$55.23 |
| A7036 |
Chinstrap used with positive airway pressure device |
32 |
24 |
$47.77 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
47 |
38 |
$46.34 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
103 |
72 |
$33.82 |