| 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 |
43,960 |
42,109 |
$2.22M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
5,303 |
5,125 |
$1.91M |
| A7030 |
Full face mask used with positive airway pressure device, each |
8,421 |
8,130 |
$590K |
| E0601 |
Continuous positive airway pressure (cpap) device |
21,342 |
18,690 |
$573K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
8,379 |
8,119 |
$308K |
| 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 |
16,150 |
15,116 |
$250K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
2,164 |
1,679 |
$239K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
7,358 |
7,173 |
$200K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
430 |
382 |
$198K |
| 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) |
3,710 |
3,224 |
$186K |
| A7035 |
Headgear used with positive airway pressure device |
12,193 |
11,825 |
$172K |
| A7031 |
Face mask interface, replacement for full face mask, each |
6,185 |
5,891 |
$171K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13,935 |
13,343 |
$138K |
| E0570 |
Nebulizer, with compressor |
10,353 |
9,738 |
$137K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,153 |
3,932 |
$120K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
276 |
253 |
$119K |
| A7037 |
Tubing used with positive airway pressure device |
9,778 |
9,445 |
$112K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
3,832 |
3,651 |
$111K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
17,004 |
16,314 |
$97K |
| A4624 |
Tracheal suction catheter, any type other than closed system, each |
1,081 |
971 |
$93K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
8,827 |
8,603 |
$75K |
| A4217 |
Sterile water/saline, 500 ml |
2,197 |
1,767 |
$66K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
758 |
744 |
$60K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
2,133 |
2,025 |
$50K |
| E1392 |
Portable oxygen concentrator, rental |
4,457 |
4,225 |
$48K |
| A7526 |
Tracheostomy tube collar/holder, each |
1,939 |
1,766 |
$48K |
| A4629 |
Tracheostomy care kit for established tracheostomy |
873 |
804 |
$47K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
1,052 |
967 |
$41K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,586 |
1,493 |
$37K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
2,138 |
1,957 |
$33K |
| K0001 |
Standard wheelchair |
1,724 |
1,629 |
$31K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,281 |
2,197 |
$31K |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
429 |
270 |
$26K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
666 |
659 |
$26K |
| A4628 |
Oral and/or oropharyngeal suction catheter, each |
1,746 |
1,516 |
$18K |
| A4927 |
Gloves, non-sterile, per 100 |
1,318 |
1,055 |
$17K |
| A7000 |
Canister, disposable, used with suction pump, each |
2,868 |
2,315 |
$15K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,695 |
1,246 |
$15K |
| A7036 |
Chinstrap used with positive airway pressure device |
1,601 |
1,565 |
$12K |
| E0565 |
Compressor, air power source for equipment which is not self-contained or cylinder driven |
387 |
343 |
$5K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
197 |
189 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,264 |
2,177 |
$2K |
| A7002 |
Tubing, used with suction pump, each |
1,332 |
1,020 |
$2K |
| A7525 |
Tracheostomy mask, each |
906 |
791 |
$2K |
| A7007 |
Large volume nebulizer, disposable, unfilled, used with aerosol compressor |
399 |
342 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
233 |
228 |
$984.60 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
1,884 |
1,829 |
$755.07 |
| A7521 |
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each |
31 |
27 |
$514.75 |
| A7012 |
Water collection device, used with large volume nebulizer |
68 |
61 |
$266.83 |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
13 |
12 |
$221.78 |