| 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 |
5,238 |
4,259 |
$244K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,467 |
3,952 |
$178K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,910 |
2,496 |
$92K |
| 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) |
1,010 |
836 |
$91K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,456 |
2,306 |
$29K |
| A7030 |
Full face mask used with positive airway pressure device, each |
227 |
193 |
$11K |
| K0001 |
Standard wheelchair |
485 |
420 |
$8K |
| E0570 |
Nebulizer, with compressor |
173 |
172 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
790 |
666 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
222 |
185 |
$6K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
756 |
638 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
498 |
418 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
142 |
122 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
318 |
286 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
131 |
114 |
$714.85 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
33 |
33 |
$430.62 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
28 |
24 |
$255.99 |
| K0003 |
Lightweight wheelchair |
34 |
24 |
$228.36 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
32 |
32 |
$105.27 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
32 |
32 |
$2.72 |