| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
3,459 |
3,236 |
$250K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,436 |
2,159 |
$108K |
| E0570 |
Nebulizer, with compressor |
1,575 |
1,419 |
$50K |
| A7030 |
Full face mask used with positive airway pressure device, each |
343 |
322 |
$25K |
| A7035 |
Headgear used with positive airway pressure device |
1,323 |
1,243 |
$21K |
| A7037 |
Tubing used with positive airway pressure device |
658 |
619 |
$15K |
| K0003 |
Lightweight wheelchair |
752 |
699 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
121 |
104 |
$13K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
200 |
191 |
$10K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
36 |
36 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,460 |
1,392 |
$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) |
50 |
49 |
$7K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
842 |
789 |
$5K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
820 |
700 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
841 |
787 |
$1K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
97 |
91 |
$518.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
346 |
333 |
$390.32 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
390 |
356 |
$276.36 |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$132.32 |
| K0001 |
Standard wheelchair |
15 |
13 |
$115.11 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
95 |
93 |
$0.00 |