| 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 |
5,065 |
4,774 |
$330K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,214 |
2,070 |
$110K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,340 |
1,278 |
$50K |
| E0570 |
Nebulizer, with compressor |
3,669 |
3,531 |
$47K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,716 |
2,556 |
$36K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,967 |
2,793 |
$30K |
| A7030 |
Full face mask used with positive airway pressure device, each |
327 |
294 |
$28K |
| K0001 |
Standard wheelchair |
977 |
893 |
$18K |
| A7037 |
Tubing used with positive airway pressure device |
666 |
618 |
$11K |
| 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) |
104 |
104 |
$11K |
| A7035 |
Headgear used with positive airway pressure device |
500 |
454 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
730 |
681 |
$4K |
| A7031 |
Face mask interface, replacement for full face mask, each |
59 |
52 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
220 |
184 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
48 |
41 |
$73.11 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
14 |
12 |
$60.97 |