| 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 |
13,157 |
9,943 |
$435K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,612 |
2,945 |
$134K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,838 |
1,462 |
$101K |
| E0570 |
Nebulizer, with compressor |
5,937 |
4,256 |
$52K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,300 |
4,739 |
$46K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,694 |
1,372 |
$43K |
| E1130 |
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
1,970 |
1,802 |
$42K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,181 |
3,347 |
$42K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
857 |
677 |
$28K |
| A7037 |
Tubing used with positive airway pressure device |
2,706 |
2,122 |
$23K |
| A7035 |
Headgear used with positive airway pressure device |
1,999 |
1,584 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
2,110 |
1,564 |
$21K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
892 |
665 |
$20K |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
1,470 |
826 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,547 |
2,827 |
$12K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
737 |
611 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
856 |
712 |
$7K |
| 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 |
1,258 |
839 |
$7K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,435 |
1,111 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
138 |
113 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
141 |
124 |
$4K |
| K0001 |
Standard wheelchair |
1,087 |
917 |
$3K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
45 |
37 |
$956.75 |
| 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) |
13 |
12 |
$696.99 |
| A6530 |
Gradient compression stocking, below knee, 18-30 mmhg, each |
15 |
12 |
$522.62 |
| E0156 |
Seat attachment, walker |
15 |
13 |
$131.36 |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
14 |
12 |
$65.44 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
55 |
30 |
$0.00 |
| 0003A |
|
30 |
30 |
$0.00 |