| 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 |
32,263 |
22,866 |
$821K |
| E0601 |
Continuous positive airway pressure (cpap) device |
12,426 |
9,473 |
$328K |
| A7030 |
Full face mask used with positive airway pressure device, each |
8,335 |
5,667 |
$230K |
| A7031 |
Face mask interface, replacement for full face mask, each |
10,992 |
7,870 |
$210K |
| 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) |
3,490 |
2,274 |
$124K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
13,278 |
9,810 |
$110K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
17,466 |
12,338 |
$97K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
4,097 |
2,907 |
$83K |
| A7037 |
Tubing used with positive airway pressure device |
8,889 |
6,444 |
$59K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,889 |
2,213 |
$56K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,700 |
1,961 |
$55K |
| A7035 |
Headgear used with positive airway pressure device |
7,577 |
5,341 |
$52K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,398 |
2,889 |
$50K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
18,650 |
13,949 |
$48K |
| E0570 |
Nebulizer, with compressor |
10,397 |
7,018 |
$47K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
4,278 |
2,672 |
$40K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
5,928 |
4,150 |
$21K |
| K0001 |
Standard wheelchair |
3,888 |
3,151 |
$16K |
| E1392 |
Portable oxygen concentrator, rental |
3,321 |
2,369 |
$14K |
| E1130 |
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
1,395 |
1,303 |
$7K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
146 |
116 |
$6K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
374 |
217 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
900 |
774 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,764 |
1,151 |
$3K |
| E0442 |
Stationary oxygen contents, liquid, 1 month's supply = 1 unit |
306 |
162 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,581 |
1,746 |
$2K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
252 |
189 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
76 |
51 |
$1K |
| E0444 |
Portable oxygen contents, liquid, 1 month's supply = 1 unit |
226 |
126 |
$452.50 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,271 |
857 |
$322.05 |
| E0156 |
Seat attachment, walker |
17 |
12 |
$124.33 |
| A7015 |
Aerosol mask, used with dme nebulizer |
166 |
122 |
$74.06 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
58 |
54 |
$59.70 |