| 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 |
21,585 |
15,739 |
$504K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,810 |
1,109 |
$331K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,977 |
3,896 |
$82K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,418 |
1,257 |
$69K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12,158 |
8,923 |
$58K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,887 |
1,634 |
$53K |
| E0570 |
Nebulizer, with compressor |
3,895 |
3,238 |
$41K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,293 |
1,152 |
$38K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,795 |
4,513 |
$32K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,138 |
1,742 |
$29K |
| A7035 |
Headgear used with positive airway pressure device |
2,669 |
2,316 |
$29K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,668 |
1,463 |
$27K |
| K0003 |
Lightweight wheelchair |
1,772 |
1,413 |
$21K |
| A7037 |
Tubing used with positive airway pressure device |
2,649 |
2,289 |
$15K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,048 |
907 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
1,482 |
1,247 |
$13K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,835 |
1,615 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,889 |
6,048 |
$9K |
| K0001 |
Standard wheelchair |
702 |
600 |
$6K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
407 |
370 |
$5K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
620 |
490 |
$2K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
195 |
150 |
$922.02 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
236 |
193 |
$908.94 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
44 |
38 |
$744.10 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
173 |
147 |
$737.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
954 |
724 |
$386.54 |
| A7036 |
Chinstrap used with positive airway pressure device |
32 |
27 |
$238.66 |
| E0156 |
Seat attachment, walker |
14 |
12 |
$143.31 |
| A7015 |
Aerosol mask, used with dme nebulizer |
94 |
80 |
$58.79 |