| 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 |
4,774 |
4,345 |
$229K |
| E0570 |
Nebulizer, with compressor |
3,275 |
2,977 |
$98K |
| A7030 |
Full face mask used with positive airway pressure device, each |
1,241 |
1,111 |
$71K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,349 |
1,287 |
$57K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
1,356 |
1,273 |
$46K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,145 |
1,024 |
$36K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,594 |
2,390 |
$33K |
| A7037 |
Tubing used with positive airway pressure device |
2,128 |
1,932 |
$32K |
| A7035 |
Headgear used with positive airway pressure device |
1,074 |
963 |
$22K |
| E1392 |
Portable oxygen concentrator, rental |
987 |
902 |
$12K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
947 |
834 |
$12K |
| K0001 |
Standard wheelchair |
850 |
826 |
$12K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
440 |
416 |
$11K |
| K0003 |
Lightweight wheelchair |
341 |
329 |
$8K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,224 |
1,960 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
494 |
459 |
$3K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
727 |
662 |
$3K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
98 |
93 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
26 |
26 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
945 |
833 |
$1K |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
967 |
834 |
$424.13 |