| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0570 |
Nebulizer, with compressor |
3,748 |
3,724 |
$491K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,695 |
1,658 |
$67K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
2,435 |
2,411 |
$56K |
| A7030 |
Full face mask used with positive airway pressure device, each |
379 |
370 |
$38K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
946 |
910 |
$27K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
534 |
523 |
$18K |
| K0001 |
Standard wheelchair |
479 |
473 |
$18K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
663 |
651 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
421 |
410 |
$8K |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
611 |
605 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
184 |
178 |
$7K |
| A7015 |
Aerosol mask, used with dme nebulizer |
2,404 |
2,378 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
778 |
763 |
$4K |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
2,317 |
2,297 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
39 |
39 |
$2K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
29 |
29 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
77 |
75 |
$838.95 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
59 |
58 |
$386.76 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13 |
13 |
$146.57 |