| 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 |
16,559 |
16,188 |
$1.33M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
767 |
756 |
$623K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,014 |
4,944 |
$213K |
| 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) |
1,089 |
1,075 |
$145K |
| 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 |
4,827 |
4,730 |
$132K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,854 |
6,592 |
$121K |
| K0001 |
Standard wheelchair |
4,243 |
4,183 |
$121K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,037 |
2,007 |
$105K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,240 |
2,175 |
$87K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,283 |
1,261 |
$71K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,118 |
1,101 |
$63K |
| A7037 |
Tubing used with positive airway pressure device |
2,012 |
1,979 |
$49K |
| A7035 |
Headgear used with positive airway pressure device |
2,104 |
2,063 |
$44K |
| E0570 |
Nebulizer, with compressor |
1,837 |
1,821 |
$36K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,056 |
2,994 |
$33K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
759 |
751 |
$28K |
| A7031 |
Face mask interface, replacement for full face mask, each |
540 |
523 |
$26K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
332 |
326 |
$17K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
492 |
492 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
893 |
881 |
$9K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
385 |
351 |
$8K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
271 |
268 |
$7K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
102 |
98 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
219 |
215 |
$4K |
| K0007 |
Extra heavy duty wheelchair |
25 |
25 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
113 |
112 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
36 |
36 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
118 |
105 |
$235.41 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
220 |
202 |
$135.75 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
12 |
12 |
$92.34 |
| A7015 |
Aerosol mask, used with dme nebulizer |
25 |
20 |
$28.60 |