| 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 |
11,346 |
10,027 |
$211K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,006 |
3,476 |
$52K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,743 |
1,504 |
$41K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,382 |
2,864 |
$40K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,207 |
5,534 |
$25K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,815 |
1,607 |
$18K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,005 |
821 |
$15K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
807 |
708 |
$13K |
| E1392 |
Portable oxygen concentrator, rental |
1,757 |
1,588 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
629 |
553 |
$12K |
| 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) |
282 |
230 |
$10K |
| E0570 |
Nebulizer, with compressor |
3,772 |
3,414 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
1,539 |
1,324 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,243 |
3,635 |
$6K |
| K0001 |
Standard wheelchair |
1,343 |
1,133 |
$5K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
305 |
261 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
699 |
603 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
218 |
209 |
$2K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
215 |
203 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
70 |
68 |
$180.98 |