| 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 |
4,969 |
4,944 |
$373K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,742 |
3,736 |
$218K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
958 |
958 |
$125K |
| E0570 |
Nebulizer, with compressor |
1,362 |
1,358 |
$55K |
| A7030 |
Full face mask used with positive airway pressure device, each |
773 |
765 |
$55K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,094 |
3,066 |
$50K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,763 |
3,756 |
$43K |
| K0001 |
Standard wheelchair |
1,053 |
1,048 |
$30K |
| A7035 |
Headgear used with positive airway pressure device |
1,145 |
1,136 |
$23K |
| A7031 |
Face mask interface, replacement for full face mask, each |
472 |
467 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,858 |
1,839 |
$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) |
79 |
79 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
240 |
238 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
161 |
161 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
525 |
521 |
$3K |
| E0561 |
Humidifier, non-heated, used with positive airway pressure device |
289 |
289 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
441 |
438 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
80 |
80 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
49 |
49 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
17 |
17 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
13 |
13 |
$383.29 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
39 |
30 |
$204.46 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
78 |
78 |
$61.72 |
| A7015 |
Aerosol mask, used with dme nebulizer |
26 |
26 |
$37.10 |