| 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 |
8,921 |
6,940 |
$240K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,401 |
1,261 |
$74K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,089 |
2,292 |
$56K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,780 |
1,593 |
$33K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,800 |
4,613 |
$32K |
| E0570 |
Nebulizer, with compressor |
3,177 |
2,639 |
$26K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
848 |
770 |
$25K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,713 |
2,671 |
$20K |
| A7035 |
Headgear used with positive airway pressure device |
1,675 |
1,501 |
$20K |
| K0001 |
Standard wheelchair |
1,820 |
1,540 |
$16K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,159 |
944 |
$16K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
378 |
334 |
$13K |
| A7037 |
Tubing used with positive airway pressure device |
1,646 |
1,460 |
$11K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,216 |
1,097 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,936 |
4,388 |
$7K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
203 |
181 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
384 |
310 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
543 |
445 |
$631.93 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
13 |
12 |
$126.17 |