| 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 |
17,807 |
13,800 |
$588K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,576 |
2,160 |
$97K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,697 |
1,354 |
$90K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,643 |
8,169 |
$74K |
| 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) |
660 |
491 |
$40K |
| E1392 |
Portable oxygen concentrator, rental |
3,822 |
3,069 |
$38K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,594 |
2,902 |
$37K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,406 |
1,127 |
$34K |
| E1130 |
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
951 |
903 |
$22K |
| A7037 |
Tubing used with positive airway pressure device |
2,127 |
1,652 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
1,444 |
1,126 |
$15K |
| E0570 |
Nebulizer, with compressor |
2,812 |
1,934 |
$15K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
981 |
612 |
$14K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
769 |
545 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,553 |
1,981 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
117 |
89 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
985 |
763 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
139 |
123 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
368 |
298 |
$3K |
| K0001 |
Standard wheelchair |
254 |
204 |
$396.99 |