| 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 |
2,234 |
2,131 |
$139K |
| A7030 |
Full face mask used with positive airway pressure device, each |
718 |
686 |
$76K |
| E0601 |
Continuous positive airway pressure (cpap) device |
937 |
850 |
$49K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
250 |
190 |
$35K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
1,065 |
1,025 |
$31K |
| A7031 |
Face mask interface, replacement for full face mask, each |
709 |
668 |
$27K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,133 |
1,077 |
$15K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
277 |
261 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
901 |
841 |
$14K |
| S9500 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
31 |
12 |
$10K |
| A7035 |
Headgear used with positive airway pressure device |
563 |
540 |
$9K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,299 |
1,183 |
$8K |
| S9342 |
Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
12 |
12 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
259 |
254 |
$7K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
40 |
26 |
$1K |
| E0570 |
Nebulizer, with compressor |
128 |
118 |
$481.39 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
15 |
13 |
$388.55 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
39 |
39 |
$374.07 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
71 |
67 |
$366.01 |
| K0001 |
Standard wheelchair |
66 |
62 |
$312.66 |