| 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 |
14,090 |
10,888 |
$483K |
| E0601 |
Continuous positive airway pressure (cpap) device |
10,502 |
8,721 |
$326K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,971 |
3,132 |
$188K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,247 |
4,199 |
$155K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
6,282 |
5,055 |
$127K |
| 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) |
1,730 |
1,480 |
$105K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,030 |
2,462 |
$96K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,893 |
4,221 |
$95K |
| E1392 |
Portable oxygen concentrator, rental |
5,102 |
3,888 |
$65K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,909 |
1,622 |
$61K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,765 |
1,424 |
$57K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,768 |
1,451 |
$43K |
| A7035 |
Headgear used with positive airway pressure device |
4,163 |
3,334 |
$43K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,461 |
8,330 |
$36K |
| 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 |
2,602 |
1,960 |
$34K |
| E0570 |
Nebulizer, with compressor |
3,305 |
2,554 |
$33K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,085 |
3,266 |
$30K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,748 |
2,219 |
$18K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
426 |
381 |
$18K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
463 |
269 |
$18K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
16 |
12 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
312 |
260 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
346 |
283 |
$3K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
115 |
90 |
$3K |
| E1222 |
Wheelchair with fixed arm, elevating legrests |
155 |
147 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
296 |
224 |
$1K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
17 |
14 |
$723.76 |
| E0156 |
Seat attachment, walker |
31 |
24 |
$148.83 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
13 |
12 |
$114.00 |
| K0001 |
Standard wheelchair |
203 |
181 |
$71.34 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
100 |
86 |
$43.64 |