| 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 |
4,365 |
4,100 |
$169K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,042 |
1,910 |
$94K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,051 |
2,870 |
$66K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,337 |
1,248 |
$34K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,380 |
3,206 |
$28K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
646 |
610 |
$18K |
| A7030 |
Full face mask used with positive airway pressure device, each |
304 |
281 |
$15K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,575 |
3,376 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
768 |
709 |
$9K |
| E0570 |
Nebulizer, with compressor |
229 |
219 |
$6K |
| K0003 |
Lightweight wheelchair |
561 |
521 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
538 |
504 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
45 |
39 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
724 |
686 |
$3K |
| K0001 |
Standard wheelchair |
48 |
48 |
$911.58 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
396 |
373 |
$706.78 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
13 |
$485.07 |
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
12 |
12 |
$111.03 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$6.92 |