| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
3,126 |
2,647 |
$933K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
15,327 |
13,409 |
$682K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,906 |
3,099 |
$218K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,856 |
4,246 |
$197K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,327 |
2,428 |
$115K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,715 |
2,989 |
$81K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,900 |
2,464 |
$72K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,913 |
5,130 |
$64K |
| E0570 |
Nebulizer, with compressor |
3,309 |
2,824 |
$53K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,138 |
1,716 |
$47K |
| A7035 |
Headgear used with positive airway pressure device |
3,867 |
3,137 |
$44K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,619 |
1,372 |
$43K |
| A7037 |
Tubing used with positive airway pressure device |
3,035 |
2,377 |
$37K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
4,321 |
3,238 |
$33K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,074 |
6,369 |
$31K |
| K0001 |
Standard wheelchair |
902 |
777 |
$12K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
586 |
470 |
$12K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
2,571 |
2,083 |
$11K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
336 |
298 |
$9K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
247 |
190 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
163 |
153 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
583 |
443 |
$1K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
40 |
29 |
$668.69 |
| E0156 |
Seat attachment, walker |
27 |
25 |
$202.58 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
16 |
13 |
$101.72 |
| A7015 |
Aerosol mask, used with dme nebulizer |
44 |
30 |
$39.26 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
72 |
59 |
$36.41 |