| 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 |
5,864 |
5,307 |
$330K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,591 |
4,290 |
$249K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,719 |
1,610 |
$133K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,238 |
1,026 |
$102K |
| 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) |
882 |
820 |
$95K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,194 |
2,852 |
$72K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,987 |
1,845 |
$71K |
| E0570 |
Nebulizer, with compressor |
1,524 |
1,393 |
$67K |
| A7035 |
Headgear used with positive airway pressure device |
1,872 |
1,725 |
$43K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
863 |
790 |
$38K |
| K0001 |
Standard wheelchair |
783 |
733 |
$19K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
304 |
287 |
$16K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,938 |
2,717 |
$13K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
367 |
345 |
$11K |
| A7037 |
Tubing used with positive airway pressure device |
319 |
305 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
220 |
196 |
$6K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
257 |
251 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
263 |
223 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
175 |
168 |
$3K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
15 |
13 |
$372.10 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
46 |
41 |
$207.82 |
| A7015 |
Aerosol mask, used with dme nebulizer |
32 |
30 |
$55.98 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
15 |
12 |
$38.11 |