| 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 |
12,724 |
9,581 |
$481K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,351 |
2,036 |
$91K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,317 |
1,112 |
$79K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,473 |
2,190 |
$74K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,064 |
1,768 |
$50K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,877 |
5,041 |
$38K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,168 |
981 |
$37K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
233 |
163 |
$37K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
755 |
631 |
$29K |
| E0570 |
Nebulizer, with compressor |
4,304 |
3,568 |
$27K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,314 |
2,055 |
$26K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,683 |
4,119 |
$21K |
| A7035 |
Headgear used with positive airway pressure device |
1,454 |
1,221 |
$19K |
| E1392 |
Portable oxygen concentrator, rental |
1,079 |
708 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
896 |
766 |
$6K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
791 |
480 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
113 |
89 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
955 |
681 |
$1K |
| K0001 |
Standard wheelchair |
61 |
50 |
$794.74 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
15 |
12 |
$548.79 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
78 |
69 |
$520.95 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
29 |
25 |
$15.25 |