| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
7,474 |
6,412 |
$289K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
4,645 |
3,740 |
$150K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
2,638 |
2,306 |
$93K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,186 |
1,790 |
$90K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,869 |
3,370 |
$88K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
7,246 |
6,358 |
$78K |
| A7037 |
Tubing used with positive airway pressure device |
5,465 |
4,823 |
$50K |
| A7035 |
Headgear used with positive airway pressure device |
3,454 |
2,982 |
$39K |
| 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) |
523 |
418 |
$37K |
| E0570 |
Nebulizer, with compressor |
1,773 |
1,272 |
$33K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,862 |
3,160 |
$28K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,327 |
1,125 |
$27K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
917 |
775 |
$20K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
6,914 |
6,015 |
$19K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
574 |
404 |
$17K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
3,236 |
2,789 |
$13K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,304 |
1,147 |
$10K |
| K0001 |
Standard wheelchair |
343 |
284 |
$5K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
245 |
211 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
712 |
604 |
$1K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
35 |
31 |
$357.19 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
115 |
93 |
$30.15 |
| A4259 |
Lancets, per box of 100 |
16 |
15 |
$21.62 |
| A7015 |
Aerosol mask, used with dme nebulizer |
15 |
13 |
$12.94 |