| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
3,401 |
2,969 |
$145K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,577 |
2,928 |
$139K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,752 |
1,557 |
$70K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,270 |
2,879 |
$37K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,359 |
1,200 |
$36K |
| A7037 |
Tubing used with positive airway pressure device |
3,059 |
2,741 |
$32K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,927 |
2,369 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
1,665 |
1,475 |
$22K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
848 |
712 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,277 |
3,811 |
$14K |
| E0570 |
Nebulizer, with compressor |
256 |
231 |
$11K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,632 |
1,437 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
115 |
95 |
$5K |
| K0001 |
Standard wheelchair |
391 |
298 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
222 |
147 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
371 |
326 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
75 |
70 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
81 |
77 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
171 |
161 |
$469.85 |