| 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 |
3,771 |
3,555 |
$170K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,537 |
1,479 |
$87K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,722 |
1,667 |
$51K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,681 |
1,608 |
$51K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,148 |
2,066 |
$49K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
868 |
834 |
$32K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,360 |
2,240 |
$26K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
488 |
464 |
$25K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,663 |
1,598 |
$24K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
601 |
560 |
$19K |
| A7035 |
Headgear used with positive airway pressure device |
1,426 |
1,384 |
$17K |
| 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) |
298 |
289 |
$13K |
| K0001 |
Standard wheelchair |
442 |
426 |
$12K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,696 |
2,595 |
$11K |
| E1392 |
Portable oxygen concentrator, rental |
884 |
857 |
$9K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,091 |
1,050 |
$8K |
| K0003 |
Lightweight wheelchair |
42 |
36 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
266 |
254 |
$1K |
| E0570 |
Nebulizer, with compressor |
107 |
107 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
95 |
92 |
$991.25 |
| E0971 |
Manual wheelchair accessory, anti-tipping device, each |
70 |
63 |
$287.98 |