| 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 |
2,991 |
2,584 |
$122K |
| A7030 |
Full face mask used with positive airway pressure device, each |
656 |
615 |
$52K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,129 |
1,041 |
$30K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
739 |
698 |
$24K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,163 |
1,939 |
$18K |
| A7031 |
Face mask interface, replacement for full face mask, each |
541 |
482 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,376 |
1,274 |
$13K |
| E0570 |
Nebulizer, with compressor |
1,169 |
1,024 |
$10K |
| E1392 |
Portable oxygen concentrator, rental |
448 |
401 |
$8K |
| K0001 |
Standard wheelchair |
642 |
592 |
$8K |
| A7035 |
Headgear used with positive airway pressure device |
431 |
398 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
202 |
177 |
$7K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
85 |
82 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
1,171 |
892 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
213 |
206 |
$2K |
| 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) |
12 |
12 |
$2K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
15 |
14 |
$927.54 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
13 |
$561.19 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
114 |
100 |
$296.36 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
79 |
76 |
$170.86 |