| 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 |
256 |
208 |
$32K |
| E0601 |
Continuous positive airway pressure (cpap) device |
264 |
233 |
$18K |
| E0570 |
Nebulizer, with compressor |
200 |
198 |
$11K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
50 |
49 |
$9K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
295 |
251 |
$8K |
| A7030 |
Full face mask used with positive airway pressure device, each |
68 |
65 |
$7K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
142 |
106 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
60 |
57 |
$4K |
| 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) |
18 |
16 |
$3K |
| 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 |
76 |
66 |
$3K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
115 |
111 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
94 |
92 |
$3K |
| K0001 |
Standard wheelchair |
71 |
65 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
99 |
96 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
40 |
32 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
106 |
104 |
$935.13 |
| A7015 |
Aerosol mask, used with dme nebulizer |
71 |
68 |
$154.08 |