| 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 |
8,407 |
6,163 |
$260K |
| E0601 |
Continuous positive airway pressure (cpap) device |
4,590 |
3,652 |
$128K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,097 |
1,640 |
$103K |
| 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) |
1,999 |
1,431 |
$100K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,460 |
1,914 |
$56K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
2,725 |
2,377 |
$52K |
| E0570 |
Nebulizer, with compressor |
3,587 |
2,756 |
$48K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,182 |
5,147 |
$43K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,302 |
978 |
$42K |
| A7035 |
Headgear used with positive airway pressure device |
2,645 |
2,030 |
$26K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,217 |
927 |
$22K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
553 |
425 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,472 |
3,402 |
$10K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
434 |
339 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,051 |
756 |
$6K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
558 |
476 |
$6K |
| A7037 |
Tubing used with positive airway pressure device |
935 |
678 |
$5K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
188 |
129 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
784 |
567 |
$2K |
| E1150 |
Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests |
75 |
70 |
$2K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
34 |
24 |
$382.20 |
| A7015 |
Aerosol mask, used with dme nebulizer |
219 |
195 |
$184.46 |