| 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 |
11,637 |
11,329 |
$767K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,314 |
5,163 |
$310K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,999 |
2,958 |
$93K |
| 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 |
3,256 |
3,117 |
$91K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,281 |
1,205 |
$70K |
| 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) |
480 |
471 |
$59K |
| E1392 |
Portable oxygen concentrator, rental |
2,006 |
1,972 |
$52K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
396 |
381 |
$49K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,776 |
1,682 |
$48K |
| E0570 |
Nebulizer, with compressor |
1,702 |
1,636 |
$47K |
| A7035 |
Headgear used with positive airway pressure device |
1,592 |
1,517 |
$33K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
637 |
611 |
$21K |
| A7031 |
Face mask interface, replacement for full face mask, each |
698 |
644 |
$19K |
| K0001 |
Standard wheelchair |
390 |
374 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
155 |
154 |
$11K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,764 |
2,534 |
$8K |
| E0255 |
Hospital bed, variable height, hi-lo, with any type side rails, with mattress |
102 |
99 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
463 |
444 |
$742.89 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
40 |
39 |
$619.39 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
25 |
25 |
$497.65 |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$284.27 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
40 |
39 |
$98.48 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
14 |
13 |
$66.36 |
| E1356 |
Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each |
572 |
572 |
$0.00 |