| 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 |
8,317 |
7,233 |
$348K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,967 |
5,331 |
$250K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,484 |
2,240 |
$157K |
| 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) |
838 |
777 |
$89K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,411 |
1,255 |
$77K |
| E0570 |
Nebulizer, with compressor |
3,550 |
3,177 |
$66K |
| A7037 |
Tubing used with positive airway pressure device |
3,307 |
2,988 |
$42K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
148 |
112 |
$38K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
917 |
831 |
$34K |
| A7035 |
Headgear used with positive airway pressure device |
2,365 |
2,115 |
$31K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,598 |
1,184 |
$30K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,377 |
1,169 |
$29K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,969 |
4,147 |
$25K |
| K0003 |
Lightweight wheelchair |
1,729 |
1,403 |
$19K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,350 |
3,484 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,202 |
1,090 |
$9K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,601 |
1,433 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
265 |
207 |
$6K |
| K0001 |
Standard wheelchair |
415 |
379 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
32 |
25 |
$653.83 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
280 |
242 |
$8.66 |