| 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 |
16,444 |
14,194 |
$583K |
| E0601 |
Continuous positive airway pressure (cpap) device |
8,672 |
7,643 |
$267K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,992 |
3,563 |
$105K |
| E0570 |
Nebulizer, with compressor |
2,798 |
2,421 |
$92K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,539 |
9,084 |
$83K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
224 |
168 |
$60K |
| 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) |
1,008 |
817 |
$49K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,048 |
946 |
$47K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,685 |
1,424 |
$39K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,574 |
1,416 |
$34K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,023 |
949 |
$25K |
| A7035 |
Headgear used with positive airway pressure device |
1,489 |
1,348 |
$17K |
| K0003 |
Lightweight wheelchair |
941 |
799 |
$12K |
| K0004 |
High strength, lightweight wheelchair |
584 |
512 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
299 |
272 |
$11K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
366 |
340 |
$10K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
836 |
784 |
$9K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
294 |
264 |
$8K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
823 |
409 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
363 |
323 |
$6K |
| K0001 |
Standard wheelchair |
635 |
510 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,315 |
2,099 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
128 |
113 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
335 |
313 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
662 |
588 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
273 |
252 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
74 |
70 |
$74.36 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
14 |
13 |
$12.41 |