| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
532 |
513 |
$215K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,861 |
2,808 |
$201K |
| E0601 |
Continuous positive airway pressure (cpap) device |
741 |
704 |
$39K |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
231 |
230 |
$22K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
374 |
372 |
$17K |
| E0570 |
Nebulizer, with compressor |
335 |
331 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
147 |
146 |
$5K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
710 |
706 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
177 |
177 |
$4K |
| E0973 |
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
540 |
314 |
$3K |
| A7030 |
Full face mask used with positive airway pressure device, each |
38 |
38 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
14 |
14 |
$1K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
25 |
25 |
$233.65 |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
51 |
49 |
$175.58 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
14 |
14 |
$162.39 |