| 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 |
10,129 |
9,682 |
$604K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,256 |
4,951 |
$293K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,147 |
2,892 |
$148K |
| E1392 |
Portable oxygen concentrator, rental |
6,446 |
6,157 |
$109K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,125 |
1,078 |
$84K |
| 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) |
569 |
538 |
$72K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,805 |
1,711 |
$63K |
| K0001 |
Standard wheelchair |
2,216 |
2,098 |
$58K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,216 |
1,115 |
$48K |
| A7035 |
Headgear used with positive airway pressure device |
1,839 |
1,747 |
$44K |
| E0570 |
Nebulizer, with compressor |
1,692 |
1,604 |
$37K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
164 |
162 |
$30K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
652 |
626 |
$21K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
872 |
829 |
$21K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
204 |
191 |
$10K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
25 |
24 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,102 |
1,994 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
166 |
155 |
$3K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
67 |
62 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
75 |
73 |
$490.23 |
| A7015 |
Aerosol mask, used with dme nebulizer |
169 |
157 |
$188.86 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
12 |
$166.85 |
| E0951 |
Heel loop/holder, any type, with or without ankle strap, each |
129 |
65 |
$105.87 |