| 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 |
10,563 |
8,233 |
$383K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,075 |
4,227 |
$179K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,677 |
2,178 |
$148K |
| E0570 |
Nebulizer, with compressor |
3,491 |
2,674 |
$79K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,406 |
1,947 |
$57K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
5,278 |
4,429 |
$57K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
5,891 |
4,592 |
$41K |
| A7037 |
Tubing used with positive airway pressure device |
3,378 |
2,738 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
2,221 |
1,841 |
$27K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
429 |
365 |
$17K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,578 |
2,920 |
$12K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
846 |
763 |
$11K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,954 |
1,608 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
606 |
518 |
$8K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
758 |
646 |
$6K |
| E1130 |
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
183 |
177 |
$5K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
77 |
74 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
59 |
51 |
$2K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
81 |
49 |
$344.43 |
| E0250 |
Hospital bed, fixed height, with any type side rails, with mattress |
41 |
25 |
$309.48 |
| G0008 |
Administration of influenza virus vaccine |
79 |
76 |
$0.00 |
| 90674 |
|
22 |
22 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 90694 |
|
13 |
12 |
$0.00 |