| 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 |
9,319 |
6,920 |
$187K |
| E0570 |
Nebulizer, with compressor |
1,706 |
1,410 |
$25K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,432 |
4,188 |
$24K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,677 |
1,201 |
$22K |
| A7030 |
Full face mask used with positive airway pressure device, each |
401 |
361 |
$21K |
| A7031 |
Face mask interface, replacement for full face mask, each |
853 |
748 |
$16K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
395 |
359 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,288 |
1,801 |
$12K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
712 |
551 |
$10K |
| K0001 |
Standard wheelchair |
799 |
638 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
561 |
504 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,630 |
2,315 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
548 |
480 |
$3K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
13 |
12 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
260 |
218 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
222 |
196 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
404 |
308 |
$221.79 |
| A7015 |
Aerosol mask, used with dme nebulizer |
14 |
14 |
$14.40 |