| 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 |
27,221 |
24,832 |
$950K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,809 |
4,468 |
$174K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,844 |
11,052 |
$157K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,362 |
2,202 |
$72K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,790 |
1,598 |
$71K |
| 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) |
941 |
892 |
$70K |
| E1392 |
Portable oxygen concentrator, rental |
5,883 |
5,278 |
$51K |
| E0570 |
Nebulizer, with compressor |
3,733 |
3,329 |
$47K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,186 |
1,932 |
$44K |
| K0001 |
Standard wheelchair |
1,167 |
1,081 |
$29K |
| A7035 |
Headgear used with positive airway pressure device |
2,186 |
1,964 |
$28K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,257 |
1,113 |
$27K |
| A7037 |
Tubing used with positive airway pressure device |
2,532 |
2,274 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,753 |
6,196 |
$15K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
51 |
48 |
$14K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
477 |
439 |
$13K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
567 |
505 |
$9K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
597 |
539 |
$8K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
339 |
318 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
261 |
238 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
103 |
98 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
836 |
750 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
499 |
428 |
$721.51 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
15 |
13 |
$393.47 |