| 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 |
3,186 |
2,484 |
$119K |
| E0601 |
Continuous positive airway pressure (cpap) device |
558 |
415 |
$21K |
| A7030 |
Full face mask used with positive airway pressure device, each |
241 |
191 |
$16K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,673 |
1,357 |
$14K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
499 |
337 |
$14K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
28 |
26 |
$10K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
326 |
240 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
501 |
400 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,367 |
1,175 |
$6K |
| A7031 |
Face mask interface, replacement for full face mask, each |
258 |
209 |
$6K |
| E0570 |
Nebulizer, with compressor |
861 |
509 |
$6K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
262 |
199 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
281 |
219 |
$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) |
20 |
13 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
163 |
122 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
232 |
168 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
348 |
280 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
246 |
195 |
$2K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
75 |
70 |
$2K |
| K0001 |
Standard wheelchair |
126 |
74 |
$775.60 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
429 |
288 |
$624.15 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
111 |
63 |
$376.54 |