| 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 |
18,695 |
16,976 |
$655K |
| E0601 |
Continuous positive airway pressure (cpap) device |
6,463 |
6,065 |
$249K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,925 |
2,651 |
$105K |
| 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) |
1,062 |
999 |
$92K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,339 |
6,663 |
$86K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
3,159 |
2,832 |
$84K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,227 |
2,901 |
$66K |
| A7035 |
Headgear used with positive airway pressure device |
2,963 |
2,716 |
$37K |
| E0570 |
Nebulizer, with compressor |
2,718 |
2,482 |
$30K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,842 |
1,689 |
$29K |
| A7037 |
Tubing used with positive airway pressure device |
2,224 |
2,050 |
$23K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
9,817 |
9,075 |
$22K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
799 |
736 |
$18K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
475 |
445 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
726 |
653 |
$4K |
| K0001 |
Standard wheelchair |
154 |
139 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,333 |
1,158 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
703 |
649 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
56 |
51 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
90 |
82 |
$468.70 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
13 |
$95.66 |
| A7015 |
Aerosol mask, used with dme nebulizer |
36 |
36 |
$27.01 |