| 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 |
35,697 |
31,931 |
$1.94M |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
6,501 |
5,978 |
$224K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
18,285 |
16,453 |
$205K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,288 |
2,096 |
$124K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,679 |
2,410 |
$99K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,413 |
7,637 |
$79K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,669 |
1,509 |
$77K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
182 |
164 |
$75K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,972 |
1,791 |
$71K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,456 |
1,334 |
$67K |
| E0570 |
Nebulizer, with compressor |
5,573 |
5,014 |
$65K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,313 |
2,135 |
$62K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
2,467 |
2,222 |
$61K |
| A7035 |
Headgear used with positive airway pressure device |
2,567 |
2,344 |
$49K |
| K0001 |
Standard wheelchair |
2,731 |
2,471 |
$30K |
| E1392 |
Portable oxygen concentrator, rental |
2,522 |
2,201 |
$27K |
| 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) |
311 |
279 |
$23K |
| A7037 |
Tubing used with positive airway pressure device |
973 |
890 |
$21K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
455 |
424 |
$16K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,359 |
1,263 |
$15K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
392 |
359 |
$6K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
3,256 |
2,953 |
$6K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
82 |
76 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
29 |
25 |
$543.24 |
| A7015 |
Aerosol mask, used with dme nebulizer |
27 |
25 |
$41.97 |