| 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 |
19,805 |
17,121 |
$570K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,795 |
1,464 |
$361K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,408 |
4,799 |
$104K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,168 |
4,696 |
$87K |
| 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 |
4,244 |
3,793 |
$77K |
| E1392 |
Portable oxygen concentrator, rental |
2,850 |
2,614 |
$29K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
520 |
461 |
$15K |
| K0001 |
Standard wheelchair |
686 |
649 |
$11K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
609 |
496 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
1,241 |
1,039 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
1,445 |
1,236 |
$8K |
| E0570 |
Nebulizer, with compressor |
681 |
623 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,246 |
1,908 |
$6K |
| A7030 |
Full face mask used with positive airway pressure device, each |
188 |
150 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
44 |
38 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
274 |
226 |
$858.29 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
12 |
$295.02 |
| A7031 |
Face mask interface, replacement for full face mask, each |
14 |
14 |
$183.54 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
19 |
16 |
$180.33 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
15 |
14 |
$169.27 |