| 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 |
8,347 |
8,163 |
$486K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
413 |
408 |
$198K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,523 |
3,428 |
$129K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,867 |
1,821 |
$113K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,559 |
2,525 |
$94K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,734 |
6,573 |
$85K |
| A7037 |
Tubing used with positive airway pressure device |
4,138 |
4,062 |
$57K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,380 |
3,329 |
$43K |
| 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) |
479 |
468 |
$38K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,130 |
1,106 |
$36K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,181 |
1,135 |
$35K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
991 |
955 |
$30K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,136 |
5,941 |
$23K |
| K0001 |
Standard wheelchair |
1,811 |
1,745 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,779 |
1,732 |
$20K |
| E0570 |
Nebulizer, with compressor |
1,650 |
1,611 |
$18K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
643 |
623 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,303 |
1,275 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
79 |
76 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
164 |
151 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
18 |
14 |
$367.20 |