| 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 |
3,132 |
2,833 |
$311K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,542 |
2,338 |
$125K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,767 |
2,498 |
$54K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,833 |
1,754 |
$30K |
| E0570 |
Nebulizer, with compressor |
1,123 |
1,079 |
$30K |
| 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) |
231 |
208 |
$28K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
650 |
611 |
$19K |
| A7030 |
Full face mask used with positive airway pressure device, each |
114 |
106 |
$12K |
| A7035 |
Headgear used with positive airway pressure device |
596 |
566 |
$11K |
| K0001 |
Standard wheelchair |
317 |
300 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,266 |
1,223 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
122 |
122 |
$4K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
111 |
92 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
73 |
67 |
$616.55 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
37 |
28 |
$558.83 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
144 |
125 |
$371.91 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
175 |
155 |
$179.06 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$17.50 |