| 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 |
7,477 |
7,416 |
$303K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,077 |
5,028 |
$39K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,005 |
987 |
$38K |
| E0570 |
Nebulizer, with compressor |
969 |
952 |
$28K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
609 |
598 |
$13K |
| A7030 |
Full face mask used with positive airway pressure device, each |
87 |
84 |
$6K |
| 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) |
54 |
51 |
$4K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
172 |
170 |
$3K |
| A7035 |
Headgear used with positive airway pressure device |
142 |
136 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
124 |
119 |
$2K |
| K0001 |
Standard wheelchair |
80 |
80 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
171 |
171 |
$1K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
383 |
373 |
$1K |
| K0003 |
Lightweight wheelchair |
160 |
160 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
14 |
$728.42 |
| A7031 |
Face mask interface, replacement for full face mask, each |
13 |
13 |
$371.91 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
39 |
39 |
$147.46 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
50 |
50 |
$36.78 |