| 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 |
8,264 |
6,640 |
$369K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,914 |
5,015 |
$234K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,224 |
1,803 |
$130K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
6,241 |
5,270 |
$71K |
| E0570 |
Nebulizer, with compressor |
3,535 |
2,741 |
$53K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,712 |
1,389 |
$45K |
| E1392 |
Portable oxygen concentrator, rental |
1,872 |
1,538 |
$29K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,156 |
2,529 |
$29K |
| A7037 |
Tubing used with positive airway pressure device |
2,791 |
2,264 |
$27K |
| 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) |
246 |
208 |
$25K |
| A7035 |
Headgear used with positive airway pressure device |
1,917 |
1,573 |
$23K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
252 |
221 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
321 |
254 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,723 |
2,184 |
$9K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,253 |
1,034 |
$6K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
391 |
352 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
551 |
459 |
$5K |
| E1130 |
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
86 |
83 |
$4K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
51 |
45 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
43 |
36 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
15 |
13 |
$408.15 |