| 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 |
3,757 |
3,757 |
$206K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,818 |
1,814 |
$63K |
| E0570 |
Nebulizer, with compressor |
946 |
946 |
$26K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,548 |
1,545 |
$24K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
776 |
775 |
$23K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,853 |
1,853 |
$20K |
| K0001 |
Standard wheelchair |
744 |
744 |
$18K |
| A7030 |
Full face mask used with positive airway pressure device, each |
217 |
217 |
$15K |
| 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) |
89 |
89 |
$11K |
| 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) |
42 |
42 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
489 |
489 |
$8K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
86 |
86 |
$4K |
| 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 |
295 |
295 |
$3K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
228 |
228 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
652 |
651 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
81 |
81 |
$1K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
14 |
$697.41 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
136 |
134 |
$313.04 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$14.22 |