| 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 |
13,287 |
11,022 |
$302K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,251 |
5,155 |
$71K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,310 |
8,603 |
$53K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,778 |
2,299 |
$43K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,056 |
2,616 |
$39K |
| K0001 |
Standard wheelchair |
4,237 |
3,491 |
$26K |
| A7035 |
Headgear used with positive airway pressure device |
3,399 |
2,831 |
$21K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,391 |
2,071 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,815 |
5,658 |
$17K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,158 |
1,815 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
731 |
590 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
3,587 |
3,023 |
$14K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
832 |
698 |
$13K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,397 |
1,960 |
$12K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
750 |
569 |
$11K |
| E0570 |
Nebulizer, with compressor |
3,033 |
2,491 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
965 |
752 |
$9K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
21 |
12 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,229 |
1,926 |
$6K |
| 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) |
265 |
229 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
3,021 |
2,578 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,177 |
986 |
$3K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
306 |
271 |
$3K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
15 |
15 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
147 |
139 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
161 |
147 |
$927.09 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
68 |
51 |
$819.02 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
1,604 |
1,200 |
$506.05 |
| A7036 |
Chinstrap used with positive airway pressure device |
105 |
93 |
$217.67 |
| E0156 |
Seat attachment, walker |
18 |
13 |
$62.89 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
19 |
12 |
$53.77 |