| 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 |
7,392 |
5,895 |
$265K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,266 |
1,984 |
$87K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,003 |
4,072 |
$13K |
| 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) |
130 |
107 |
$9K |
| E0570 |
Nebulizer, with compressor |
1,335 |
1,057 |
$6K |
| K0001 |
Standard wheelchair |
1,294 |
1,057 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,704 |
1,484 |
$4K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
13 |
12 |
$3K |
| E1392 |
Portable oxygen concentrator, rental |
326 |
252 |
$864.44 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
391 |
353 |
$841.52 |
| K0003 |
Lightweight wheelchair |
40 |
37 |
$188.00 |
| A7030 |
Full face mask used with positive airway pressure device, each |
52 |
39 |
$153.71 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
12 |
12 |
$152.33 |
| A7031 |
Face mask interface, replacement for full face mask, each |
47 |
39 |
$151.16 |
| A7037 |
Tubing used with positive airway pressure device |
312 |
250 |
$83.12 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
426 |
322 |
$32.95 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
66 |
53 |
$32.83 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
66 |
51 |
$11.74 |
| A7035 |
Headgear used with positive airway pressure device |
92 |
72 |
$3.35 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$2.95 |