| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,492 |
1,456 |
$834K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
7,612 |
7,225 |
$558K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,310 |
4,088 |
$249K |
| 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) |
368 |
354 |
$98K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,115 |
1,080 |
$87K |
| K0001 |
Standard wheelchair |
1,745 |
1,710 |
$59K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
957 |
912 |
$56K |
| 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 |
2,409 |
2,287 |
$50K |
| A7030 |
Full face mask used with positive airway pressure device, each |
491 |
465 |
$42K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,308 |
2,183 |
$39K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
670 |
644 |
$35K |
| E1392 |
Portable oxygen concentrator, rental |
1,318 |
1,244 |
$32K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,047 |
2,927 |
$29K |
| A7035 |
Headgear used with positive airway pressure device |
1,304 |
1,244 |
$26K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
655 |
616 |
$22K |
| A7031 |
Face mask interface, replacement for full face mask, each |
399 |
382 |
$18K |
| E0570 |
Nebulizer, with compressor |
772 |
758 |
$18K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
345 |
344 |
$17K |
| A7037 |
Tubing used with positive airway pressure device |
899 |
864 |
$16K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
74 |
74 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
490 |
468 |
$5K |
| A7036 |
Chinstrap used with positive airway pressure device |
397 |
376 |
$4K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
122 |
115 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
89 |
84 |
$3K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
38 |
37 |
$2K |
| K0003 |
Lightweight wheelchair |
26 |
24 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
100 |
98 |
$1K |
| E0156 |
Seat attachment, walker |
45 |
45 |
$514.18 |