| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
3,081 |
2,834 |
$194K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,165 |
1,843 |
$122K |
| A7030 |
Full face mask used with positive airway pressure device, each |
872 |
762 |
$79K |
| A7031 |
Face mask interface, replacement for full face mask, each |
798 |
694 |
$51K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,611 |
1,388 |
$50K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
1,561 |
1,123 |
$38K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,138 |
1,879 |
$31K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
376 |
325 |
$21K |
| A7035 |
Headgear used with positive airway pressure device |
1,072 |
924 |
$21K |
| E0570 |
Nebulizer, with compressor |
524 |
482 |
$10K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
266 |
206 |
$6K |
| K0001 |
Standard wheelchair |
245 |
183 |
$5K |
| E1392 |
Portable oxygen concentrator, rental |
212 |
198 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
314 |
268 |
$2K |
| 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) |
15 |
12 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
147 |
135 |
$1K |
| A4927 |
Gloves, non-sterile, per 100 |
15 |
12 |
$266.56 |