| 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 |
15,969 |
15,874 |
$668K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,081 |
1,052 |
$324K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,842 |
11,746 |
$101K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,364 |
3,329 |
$62K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,209 |
1,204 |
$52K |
| 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) |
793 |
784 |
$46K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,562 |
1,545 |
$42K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
2,020 |
2,002 |
$32K |
| E1392 |
Portable oxygen concentrator, rental |
1,810 |
1,789 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,154 |
1,138 |
$20K |
| K0003 |
Lightweight wheelchair |
3,173 |
3,141 |
$18K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,623 |
1,586 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
1,302 |
1,285 |
$9K |
| E0570 |
Nebulizer, with compressor |
1,185 |
1,152 |
$8K |
| K0001 |
Standard wheelchair |
324 |
322 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,326 |
1,301 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,489 |
2,446 |
$5K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
506 |
490 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
140 |
134 |
$3K |
| E0156 |
Seat attachment, walker |
197 |
192 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
183 |
180 |
$2K |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
261 |
260 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
320 |
313 |
$987.32 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
248 |
247 |
$375.18 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
12 |
$108.01 |