| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,178 |
1,135 |
$530K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
5,249 |
4,963 |
$272K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,551 |
1,468 |
$55K |
| 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 |
2,798 |
2,647 |
$44K |
| K0001 |
Standard wheelchair |
841 |
806 |
$17K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
823 |
797 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
425 |
400 |
$9K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
174 |
162 |
$8K |
| K0003 |
Lightweight wheelchair |
470 |
415 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
211 |
206 |
$7K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
53 |
51 |
$5K |
| E0570 |
Nebulizer, with compressor |
626 |
625 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
278 |
259 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
521 |
495 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
200 |
187 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
60 |
60 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
54 |
51 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
96 |
86 |
$669.89 |