| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
7,955 |
7,220 |
$362K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
6,128 |
5,060 |
$352K |
| 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) |
976 |
864 |
$87K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,096 |
3,380 |
$31K |
| E0570 |
Nebulizer, with compressor |
1,449 |
1,218 |
$27K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,376 |
5,031 |
$23K |
| K0001 |
Standard wheelchair |
320 |
270 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
575 |
502 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,652 |
1,272 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,338 |
1,047 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
968 |
758 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
1,287 |
999 |
$1K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
721 |
550 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
2,354 |
1,840 |
$688.97 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,528 |
2,710 |
$606.74 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
305 |
237 |
$515.69 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
95 |
93 |
$390.43 |
| A7015 |
Aerosol mask, used with dme nebulizer |
31 |
31 |
$25.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
696 |
548 |
$19.42 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
50 |
36 |
$0.00 |