| 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 |
15,054 |
13,587 |
$576K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
6,657 |
5,867 |
$350K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,066 |
6,325 |
$187K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,954 |
1,870 |
$160K |
| 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 |
1,654 |
1,471 |
$77K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,716 |
2,513 |
$66K |
| E0570 |
Nebulizer, with compressor |
3,566 |
3,363 |
$48K |
| A7035 |
Headgear used with positive airway pressure device |
2,427 |
2,323 |
$47K |
| 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) |
843 |
689 |
$43K |
| A7037 |
Tubing used with positive airway pressure device |
2,115 |
2,006 |
$33K |
| K0001 |
Standard wheelchair |
2,671 |
2,337 |
$30K |
| E1392 |
Portable oxygen concentrator, rental |
3,091 |
2,952 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,738 |
3,547 |
$20K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
121 |
114 |
$18K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
618 |
531 |
$16K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
222 |
205 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
399 |
385 |
$8K |
| A7031 |
Face mask interface, replacement for full face mask, each |
175 |
169 |
$6K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
181 |
166 |
$4K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
912 |
884 |
$3K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
17 |
12 |
$1K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
20 |
12 |
$8.31 |