| 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 |
1,382 |
1,274 |
$128K |
| E0570 |
Nebulizer, with compressor |
1,012 |
941 |
$71K |
| E0601 |
Continuous positive airway pressure (cpap) device |
779 |
731 |
$42K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,157 |
1,100 |
$22K |
| 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) |
118 |
101 |
$11K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
377 |
363 |
$11K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
228 |
181 |
$7K |
| A7030 |
Full face mask used with positive airway pressure device, each |
60 |
55 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
295 |
272 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
269 |
246 |
$6K |
| K0001 |
Standard wheelchair |
162 |
161 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
426 |
392 |
$3K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
14 |
13 |
$2K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
39 |
39 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
568 |
554 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
94 |
83 |
$971.34 |
| A7015 |
Aerosol mask, used with dme nebulizer |
460 |
451 |
$887.34 |
| A7031 |
Face mask interface, replacement for full face mask, each |
12 |
12 |
$422.30 |