| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
10,920 |
10,527 |
$1.63M |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,758 |
1,751 |
$1.24M |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
10,814 |
10,664 |
$1.07M |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,801 |
4,776 |
$935K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
5,168 |
5,119 |
$396K |
| A7030 |
Full face mask used with positive airway pressure device, each |
5,031 |
4,966 |
$313K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
6,460 |
6,420 |
$299K |
| A7035 |
Headgear used with positive airway pressure device |
9,084 |
8,966 |
$246K |
| E1392 |
Portable oxygen concentrator, rental |
1,988 |
1,975 |
$194K |
| 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 |
5,637 |
5,574 |
$164K |
| 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) |
911 |
898 |
$152K |
| A7037 |
Tubing used with positive airway pressure device |
5,195 |
5,166 |
$141K |
| K0001 |
Standard wheelchair |
3,404 |
3,395 |
$136K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
11,909 |
11,809 |
$128K |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
1,224 |
1,219 |
$124K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,327 |
2,298 |
$113K |
| E0465 |
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
80 |
80 |
$90K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,087 |
2,048 |
$84K |
| E0570 |
Nebulizer, with compressor |
1,042 |
1,030 |
$73K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,918 |
1,890 |
$62K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
764 |
759 |
$61K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
4,233 |
4,206 |
$58K |
| A7036 |
Chinstrap used with positive airway pressure device |
4,405 |
4,378 |
$57K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
949 |
945 |
$55K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,462 |
2,430 |
$51K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
347 |
344 |
$26K |
| 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) |
64 |
63 |
$24K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
501 |
498 |
$21K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
369 |
369 |
$13K |
| E0305 |
Bed side rails, half length |
873 |
873 |
$12K |
| E1140 |
Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
216 |
213 |
$12K |
| E0277 |
Powered pressure-reducing air mattress |
24 |
24 |
$11K |
| A4670 |
Automatic blood pressure monitor |
375 |
375 |
$8K |
| E0271 |
Mattress, innerspring |
376 |
376 |
$7K |
| K0007 |
Extra heavy duty wheelchair |
37 |
37 |
$5K |
| E0272 |
Mattress, foam rubber |
166 |
166 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
89 |
88 |
$2K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
46 |
46 |
$1K |
| A7000 |
Canister, disposable, used with suction pump, each |
17 |
13 |
$506.51 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
51 |
51 |
$497.21 |
| E0156 |
Seat attachment, walker |
18 |
15 |
$285.42 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
12 |
12 |
$199.51 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
93 |
93 |
$152.62 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
251 |
248 |
$132.52 |