| 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 |
24,267 |
21,719 |
$611K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,540 |
9,375 |
$65K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,589 |
2,405 |
$47K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,482 |
1,392 |
$47K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,540 |
1,375 |
$25K |
| E1392 |
Portable oxygen concentrator, rental |
2,360 |
2,189 |
$15K |
| E0570 |
Nebulizer, with compressor |
2,779 |
2,618 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
2,191 |
2,060 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,241 |
3,954 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,466 |
1,326 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
1,242 |
1,172 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
359 |
343 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
939 |
886 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
244 |
238 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
217 |
207 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
465 |
447 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,357 |
2,133 |
$1K |
| K0001 |
Standard wheelchair |
98 |
95 |
$646.69 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
69 |
68 |
$98.80 |