| 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 |
29,538 |
26,689 |
$1.41M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,691 |
1,598 |
$772K |
| 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 |
13,298 |
12,088 |
$319K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
2,625 |
2,535 |
$174K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
9,494 |
8,939 |
$132K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,611 |
1,408 |
$37K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
387 |
309 |
$36K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
847 |
775 |
$31K |
| A7030 |
Full face mask used with positive airway pressure device, each |
892 |
660 |
$22K |
| E0439 |
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing |
527 |
487 |
$21K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
685 |
588 |
$20K |
| E0441 |
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit |
787 |
539 |
$20K |
| E0434 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing |
1,640 |
1,462 |
$18K |
| A7037 |
Tubing used with positive airway pressure device |
1,177 |
969 |
$15K |
| E1392 |
Portable oxygen concentrator, rental |
1,239 |
1,139 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
816 |
569 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
580 |
423 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
1,170 |
865 |
$6K |
| E0570 |
Nebulizer, with compressor |
302 |
267 |
$5K |
| 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) |
88 |
74 |
$4K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
914 |
625 |
$4K |
| K0001 |
Standard wheelchair |
699 |
577 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,804 |
1,046 |
$3K |
| E0156 |
Seat attachment, walker |
215 |
180 |
$2K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
125 |
89 |
$1K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
31 |
29 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
69 |
57 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
114 |
89 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
151 |
88 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
122 |
84 |
$1K |
| E0245 |
Tub stool or bench |
22 |
13 |
$295.96 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
39 |
27 |
$11.97 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
27 |
18 |
$2.18 |