| 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 |
7,898 |
7,730 |
$575K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,897 |
1,863 |
$97K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,139 |
2,091 |
$44K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,785 |
1,754 |
$31K |
| A7030 |
Full face mask used with positive airway pressure device, each |
320 |
316 |
$28K |
| E0570 |
Nebulizer, with compressor |
751 |
742 |
$20K |
| 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) |
160 |
158 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,221 |
1,184 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
184 |
182 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
556 |
550 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
195 |
191 |
$9K |
| E1392 |
Portable oxygen concentrator, rental |
770 |
750 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
449 |
440 |
$8K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
32 |
32 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
108 |
107 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
39 |
38 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
25 |
25 |
$930.24 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
90 |
87 |
$906.29 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
16 |
16 |
$280.40 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
16 |
16 |
$7.09 |