| 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 |
8,462 |
7,634 |
$196K |
| E0601 |
Continuous positive airway pressure (cpap) device |
5,569 |
5,036 |
$95K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,499 |
2,243 |
$91K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,188 |
2,854 |
$69K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
4,105 |
3,743 |
$65K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
3,351 |
3,051 |
$41K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,633 |
2,410 |
$40K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,940 |
1,746 |
$37K |
| A7035 |
Headgear used with positive airway pressure device |
3,109 |
2,797 |
$26K |
| 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) |
722 |
630 |
$21K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
7,061 |
6,451 |
$21K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,079 |
1,002 |
$17K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
900 |
791 |
$16K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
862 |
734 |
$12K |
| E0570 |
Nebulizer, with compressor |
3,353 |
3,029 |
$10K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,195 |
1,990 |
$10K |
| A7037 |
Tubing used with positive airway pressure device |
1,050 |
950 |
$8K |
| E1392 |
Portable oxygen concentrator, rental |
310 |
293 |
$2K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
540 |
490 |
$1K |
| K0001 |
Standard wheelchair |
327 |
277 |
$1K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
51 |
48 |
$511.23 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
413 |
364 |
$259.56 |