| 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 |
13,604 |
12,261 |
$474K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,047 |
1,888 |
$120K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,589 |
3,338 |
$109K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,738 |
2,561 |
$106K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
8,067 |
7,332 |
$52K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,692 |
2,532 |
$36K |
| E0570 |
Nebulizer, with compressor |
2,394 |
2,105 |
$27K |
| K0001 |
Standard wheelchair |
1,432 |
1,369 |
$21K |
| A7037 |
Tubing used with positive airway pressure device |
1,978 |
1,791 |
$18K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,010 |
3,708 |
$16K |
| A7035 |
Headgear used with positive airway pressure device |
1,226 |
1,155 |
$14K |
| E1392 |
Portable oxygen concentrator, rental |
1,928 |
1,695 |
$14K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
759 |
717 |
$5K |
| 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) |
53 |
50 |
$4K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
340 |
254 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
65 |
62 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
14 |
13 |
$729.04 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
543 |
464 |
$344.79 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
94 |
39 |
$6.60 |