| 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 |
5,591 |
5,371 |
$510K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
123 |
118 |
$105K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
419 |
409 |
$96K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,995 |
1,808 |
$92K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,589 |
4,401 |
$73K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,485 |
2,358 |
$61K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
910 |
874 |
$39K |
| K0001 |
Standard wheelchair |
2,164 |
1,910 |
$28K |
| E0570 |
Nebulizer, with compressor |
1,462 |
1,377 |
$25K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
449 |
432 |
$23K |
| E1392 |
Portable oxygen concentrator, rental |
648 |
613 |
$17K |
| A7031 |
Face mask interface, replacement for full face mask, each |
178 |
145 |
$13K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
527 |
444 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
377 |
361 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
730 |
605 |
$6K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
292 |
277 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
26 |
25 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
14 |
14 |
$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) |
12 |
12 |
$1K |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
188 |
156 |
$587.99 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
12 |
12 |
$519.97 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$278.49 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
13 |
12 |
$147.14 |