| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
4,529 |
4,066 |
$126K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
5,244 |
4,380 |
$125K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,149 |
4,611 |
$40K |
| E0570 |
Nebulizer, with compressor |
2,016 |
1,641 |
$33K |
| A7030 |
Full face mask used with positive airway pressure device, each |
541 |
498 |
$24K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,339 |
3,581 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,668 |
1,500 |
$17K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
328 |
295 |
$10K |
| K0001 |
Standard wheelchair |
1,081 |
869 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
413 |
377 |
$9K |
| A7037 |
Tubing used with positive airway pressure device |
1,117 |
1,019 |
$8K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
228 |
195 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,738 |
1,521 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
139 |
121 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
502 |
459 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
513 |
481 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
81 |
66 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
222 |
196 |
$1K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
161 |
128 |
$265.63 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
50 |
37 |
$1.67 |
| 0004A |
|
17 |
16 |
$0.00 |