| 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 |
14,487 |
11,580 |
$761K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,087 |
877 |
$304K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,609 |
9,339 |
$105K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,153 |
935 |
$44K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
466 |
416 |
$14K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,412 |
939 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,969 |
1,728 |
$10K |
| E0570 |
Nebulizer, with compressor |
1,198 |
973 |
$7K |
| K0001 |
Standard wheelchair |
1,360 |
1,036 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
189 |
150 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
100 |
81 |
$6K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
601 |
406 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
319 |
263 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
232 |
206 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
223 |
198 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
307 |
248 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
69 |
53 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
60 |
48 |
$2K |
| 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) |
17 |
12 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
64 |
53 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
202 |
161 |
$941.46 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
207 |
166 |
$359.73 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
30 |
29 |
$188.88 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
69 |
48 |
$174.85 |