| 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 |
12,220 |
11,574 |
$548K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,010 |
6,633 |
$266K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,182 |
5,848 |
$202K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,588 |
1,512 |
$136K |
| E0570 |
Nebulizer, with compressor |
1,806 |
1,759 |
$53K |
| A7035 |
Headgear used with positive airway pressure device |
2,223 |
2,147 |
$49K |
| A7037 |
Tubing used with positive airway pressure device |
940 |
927 |
$27K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
192 |
183 |
$22K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,550 |
3,399 |
$18K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
287 |
276 |
$15K |
| A7031 |
Face mask interface, replacement for full face mask, each |
471 |
433 |
$12K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
721 |
708 |
$8K |
| 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) |
121 |
114 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
609 |
564 |
$8K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
52 |
50 |
$3K |
| K0001 |
Standard wheelchair |
158 |
139 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
256 |
254 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
315 |
313 |
$912.24 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
15 |
12 |
$519.96 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
31 |
31 |
$420.69 |