| 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 |
9,548 |
8,874 |
$534K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
993 |
978 |
$452K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,169 |
2,950 |
$161K |
| K0001 |
Standard wheelchair |
2,759 |
2,681 |
$97K |
| 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 |
2,800 |
2,642 |
$48K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,424 |
1,364 |
$44K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
471 |
450 |
$43K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,525 |
3,257 |
$41K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
608 |
577 |
$29K |
| 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) |
87 |
80 |
$26K |
| E1392 |
Portable oxygen concentrator, rental |
1,116 |
1,026 |
$22K |
| A7030 |
Full face mask used with positive airway pressure device, each |
245 |
231 |
$19K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
363 |
351 |
$17K |
| A7035 |
Headgear used with positive airway pressure device |
765 |
716 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
430 |
405 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,623 |
1,568 |
$12K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
305 |
299 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
464 |
445 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
160 |
156 |
$7K |
| E0570 |
Nebulizer, with compressor |
250 |
246 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
284 |
269 |
$2K |
| A7036 |
Chinstrap used with positive airway pressure device |
117 |
109 |
$979.38 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
230 |
201 |
$867.82 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
26 |
25 |
$806.60 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
41 |
37 |
$330.45 |