| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
1,785 |
1,567 |
$958K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
12,363 |
11,880 |
$931K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,279 |
2,998 |
$126K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,128 |
5,854 |
$90K |
| 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 |
3,552 |
3,409 |
$73K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,388 |
1,334 |
$50K |
| K0001 |
Standard wheelchair |
2,814 |
2,675 |
$49K |
| 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) |
456 |
431 |
$35K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
657 |
632 |
$33K |
| A7030 |
Full face mask used with positive airway pressure device, each |
375 |
360 |
$31K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
808 |
735 |
$23K |
| E0570 |
Nebulizer, with compressor |
1,069 |
1,023 |
$20K |
| A7031 |
Face mask interface, replacement for full face mask, each |
464 |
379 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
982 |
929 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,252 |
1,905 |
$13K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
345 |
334 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
681 |
646 |
$8K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
293 |
194 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
230 |
208 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
311 |
305 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
12 |
12 |
$2K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
76 |
67 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
29 |
26 |
$843.96 |