| 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 |
5,059 |
5,017 |
$333K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,906 |
2,876 |
$152K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,193 |
1,180 |
$102K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,791 |
1,748 |
$66K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,236 |
1,196 |
$53K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
891 |
883 |
$51K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
498 |
489 |
$39K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,099 |
3,080 |
$35K |
| A7037 |
Tubing used with positive airway pressure device |
1,694 |
1,677 |
$32K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,150 |
4,067 |
$21K |
| A7035 |
Headgear used with positive airway pressure device |
1,205 |
1,194 |
$20K |
| 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) |
148 |
147 |
$17K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
222 |
220 |
$7K |
| 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 |
190 |
184 |
$5K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
533 |
531 |
$4K |
| E0570 |
Nebulizer, with compressor |
216 |
209 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
37 |
37 |
$1K |
| K0001 |
Standard wheelchair |
63 |
62 |
$970.94 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
73 |
72 |
$12.69 |