| 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 |
9,119 |
8,921 |
$377K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,909 |
1,885 |
$103K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,061 |
1,036 |
$94K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,339 |
1,308 |
$82K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,441 |
1,421 |
$37K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
548 |
538 |
$36K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,140 |
4,072 |
$31K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
357 |
348 |
$27K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,611 |
2,565 |
$24K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
658 |
645 |
$22K |
| A7037 |
Tubing used with positive airway pressure device |
1,196 |
1,183 |
$22K |
| A7035 |
Headgear used with positive airway pressure device |
1,114 |
1,092 |
$20K |
| E0570 |
Nebulizer, with compressor |
2,530 |
2,479 |
$15K |
| K0001 |
Standard wheelchair |
345 |
340 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
789 |
772 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
787 |
752 |
$3K |
| 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) |
24 |
24 |
$3K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
43 |
42 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
12 |
12 |
$85.53 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
13 |
$37.37 |