| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
7,248 |
5,282 |
$2.47M |
| G9002 |
Coordinated care fee, maintenance rate |
3,400 |
3,323 |
$305K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
7,045 |
5,627 |
$220K |
| E0482 |
Cough stimulating device, alternating positive and negative airway pressure |
326 |
261 |
$73K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,837 |
2,244 |
$67K |
| A7030 |
Full face mask used with positive airway pressure device, each |
704 |
640 |
$40K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,566 |
4,842 |
$38K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,811 |
2,514 |
$38K |
| S5181 |
Home health respiratory therapy, nos, per diem |
270 |
270 |
$37K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,080 |
998 |
$24K |
| E1399 |
Durable medical equipment, miscellaneous |
159 |
124 |
$21K |
| E0570 |
Nebulizer, with compressor |
1,375 |
1,205 |
$14K |
| A7035 |
Headgear used with positive airway pressure device |
939 |
870 |
$12K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
405 |
385 |
$11K |
| S5180 |
Home health respiratory therapy, initial evaluation |
62 |
61 |
$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) |
537 |
89 |
$6K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
97 |
94 |
$4K |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
17 |
12 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,721 |
1,346 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
345 |
319 |
$3K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
15 |
12 |
$2K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
147 |
112 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
181 |
177 |
$2K |
| K0003 |
Lightweight wheelchair |
133 |
112 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
122 |
100 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
28 |
28 |
$767.63 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
125 |
110 |
$569.48 |
| E0156 |
Seat attachment, walker |
45 |
39 |
$349.06 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
15 |
13 |
$192.08 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
84 |
81 |
$86.68 |
| G9001 |
Coordinated care fee, initial rate |
50 |
48 |
$50.00 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
68 |
65 |
$27.13 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
35 |
16 |
$20.10 |