| 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 |
14,196 |
13,834 |
$769K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
792 |
778 |
$455K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,067 |
5,894 |
$335K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,187 |
5,031 |
$62K |
| K0001 |
Standard wheelchair |
1,781 |
1,719 |
$58K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
1,680 |
1,630 |
$51K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
681 |
637 |
$44K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
507 |
490 |
$43K |
| 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 |
2,469 |
2,432 |
$42K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
980 |
962 |
$42K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,778 |
1,671 |
$36K |
| A7035 |
Headgear used with positive airway pressure device |
1,012 |
945 |
$25K |
| A7037 |
Tubing used with positive airway pressure device |
770 |
733 |
$17K |
| E1392 |
Portable oxygen concentrator, rental |
770 |
765 |
$16K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
411 |
406 |
$14K |
| A7030 |
Full face mask used with positive airway pressure device, each |
64 |
59 |
$10K |
| E0570 |
Nebulizer, with compressor |
961 |
954 |
$9K |
| 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) |
50 |
49 |
$6K |
| E1150 |
Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests |
75 |
75 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
59 |
54 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
13 |
$1K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
29 |
29 |
$960.63 |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
12 |
12 |
$931.50 |
| A7031 |
Face mask interface, replacement for full face mask, each |
13 |
12 |
$840.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
49 |
44 |
$542.69 |
| A7036 |
Chinstrap used with positive airway pressure device |
13 |
13 |
$111.21 |