| 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 |
19,962 |
19,775 |
$535K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,391 |
1,381 |
$246K |
| 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 |
6,697 |
6,658 |
$83K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,139 |
1,137 |
$56K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,962 |
4,925 |
$46K |
| E1392 |
Portable oxygen concentrator, rental |
3,480 |
3,464 |
$25K |
| K0001 |
Standard wheelchair |
898 |
898 |
$20K |
| E0601 |
Continuous positive airway pressure (cpap) device |
766 |
766 |
$7K |
| 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) |
93 |
93 |
$5K |
| E0570 |
Nebulizer, with compressor |
492 |
492 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
224 |
221 |
$4K |
| A7030 |
Full face mask used with positive airway pressure device, each |
156 |
154 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
648 |
640 |
$4K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
90 |
90 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,308 |
1,293 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
435 |
428 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
87 |
86 |
$1K |
| E0156 |
Seat attachment, walker |
69 |
69 |
$904.65 |
| A7031 |
Face mask interface, replacement for full face mask, each |
97 |
95 |
$844.94 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
228 |
227 |
$778.62 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
35 |
35 |
$562.82 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
24 |
24 |
$259.11 |