| 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 |
16,460 |
12,240 |
$693K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
914 |
639 |
$305K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,819 |
5,180 |
$201K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,482 |
8,723 |
$91K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,014 |
1,513 |
$75K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
498 |
383 |
$37K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,287 |
1,004 |
$28K |
| 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) |
373 |
295 |
$27K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,440 |
1,062 |
$20K |
| E0570 |
Nebulizer, with compressor |
3,338 |
2,557 |
$19K |
| K0001 |
Standard wheelchair |
2,237 |
1,615 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
2,192 |
1,686 |
$18K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,931 |
1,518 |
$15K |
| K0003 |
Lightweight wheelchair |
1,059 |
723 |
$12K |
| A7037 |
Tubing used with positive airway pressure device |
915 |
702 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,949 |
3,008 |
$9K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
297 |
256 |
$9K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
510 |
333 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
407 |
302 |
$5K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
400 |
262 |
$4K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,073 |
771 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
259 |
204 |
$3K |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
1,089 |
933 |
$2K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
67 |
56 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
610 |
491 |
$1K |
| E0156 |
Seat attachment, walker |
13 |
12 |
$121.84 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
40 |
37 |
$92.30 |
| A7036 |
Chinstrap used with positive airway pressure device |
16 |
12 |
$39.33 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
31 |
25 |
$26.17 |