| 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 |
2,373 |
2,157 |
$133K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,064 |
1,991 |
$123K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
321 |
295 |
$32K |
| 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) |
284 |
272 |
$29K |
| 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 |
1,375 |
1,220 |
$26K |
| A7030 |
Full face mask used with positive airway pressure device, each |
497 |
464 |
$26K |
| E0570 |
Nebulizer, with compressor |
523 |
502 |
$24K |
| A7035 |
Headgear used with positive airway pressure device |
745 |
689 |
$15K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
303 |
277 |
$4K |
| A7037 |
Tubing used with positive airway pressure device |
135 |
132 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,229 |
1,065 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
81 |
78 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
54 |
50 |
$2K |
| K0001 |
Standard wheelchair |
49 |
49 |
$1K |
| A7031 |
Face mask interface, replacement for full face mask, each |
27 |
24 |
$622.85 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
38 |
37 |
$614.28 |