| 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 |
23,778 |
21,652 |
$585K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,250 |
2,975 |
$124K |
| A7031 |
Face mask interface, replacement for full face mask, each |
5,807 |
5,390 |
$116K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,845 |
3,483 |
$72K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
10,332 |
9,448 |
$55K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,971 |
1,874 |
$40K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,915 |
1,789 |
$38K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,036 |
1,853 |
$36K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,925 |
4,478 |
$29K |
| A7035 |
Headgear used with positive airway pressure device |
3,303 |
3,036 |
$26K |
| E1392 |
Portable oxygen concentrator, rental |
2,315 |
2,097 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,812 |
9,190 |
$23K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,148 |
1,085 |
$21K |
| A7037 |
Tubing used with positive airway pressure device |
3,430 |
3,218 |
$19K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,175 |
1,080 |
$19K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,356 |
2,196 |
$13K |
| E0570 |
Nebulizer, with compressor |
4,618 |
4,174 |
$12K |
| K0001 |
Standard wheelchair |
1,379 |
1,226 |
$8K |
| 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) |
114 |
106 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,804 |
1,619 |
$1K |