| 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 |
11,856 |
9,983 |
$244K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,481 |
2,067 |
$87K |
| E0601 |
Continuous positive airway pressure (cpap) device |
3,429 |
2,790 |
$58K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
7,579 |
6,320 |
$34K |
| A7031 |
Face mask interface, replacement for full face mask, each |
2,032 |
1,663 |
$23K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
1,177 |
953 |
$20K |
| A7037 |
Tubing used with positive airway pressure device |
3,521 |
2,963 |
$18K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,036 |
846 |
$18K |
| A7035 |
Headgear used with positive airway pressure device |
2,276 |
1,877 |
$16K |
| 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) |
408 |
328 |
$10K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
4,979 |
4,078 |
$9K |
| E2402 |
Negative pressure wound therapy electrical pump, stationary or portable |
71 |
44 |
$7K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
1,399 |
1,176 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
508 |
408 |
$4K |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
1,433 |
1,226 |
$4K |
| A6550 |
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
66 |
26 |
$3K |
| E0570 |
Nebulizer, with compressor |
640 |
566 |
$3K |
| K0001 |
Standard wheelchair |
410 |
369 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
256 |
201 |
$2K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
180 |
177 |
$1K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
100 |
77 |
$839.91 |
| A7000 |
Canister, disposable, used with suction pump, each |
30 |
13 |
$594.46 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
212 |
130 |
$200.00 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
16 |
13 |
$24.21 |