| 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 |
2,984 |
2,944 |
$221K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,528 |
2,493 |
$133K |
| 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) |
378 |
359 |
$44K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,256 |
2,246 |
$30K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,939 |
1,925 |
$29K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,187 |
1,155 |
$24K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
509 |
486 |
$22K |
| E0570 |
Nebulizer, with compressor |
568 |
554 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
970 |
922 |
$19K |
| A7037 |
Tubing used with positive airway pressure device |
727 |
699 |
$15K |
| A7030 |
Full face mask used with positive airway pressure device, each |
215 |
204 |
$14K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
284 |
280 |
$8K |
| K0001 |
Standard wheelchair |
302 |
289 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
109 |
106 |
$699.30 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
14 |
14 |
$422.13 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
41 |
38 |
$265.55 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
12 |
$181.51 |