| 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 |
11,932 |
10,837 |
$422K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,762 |
5,272 |
$153K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,235 |
2,032 |
$57K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
625 |
561 |
$13K |
| A7031 |
Face mask interface, replacement for full face mask, each |
467 |
404 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,552 |
2,336 |
$11K |
| A7030 |
Full face mask used with positive airway pressure device, each |
172 |
159 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
864 |
745 |
$7K |
| E0570 |
Nebulizer, with compressor |
1,241 |
1,108 |
$6K |
| K0001 |
Standard wheelchair |
512 |
361 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
300 |
254 |
$3K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
16 |
15 |
$437.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
66 |
60 |
$355.22 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
15 |
12 |
$207.70 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
13 |
12 |
$163.68 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
18 |
14 |
$95.04 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
73 |
65 |
$57.70 |