| 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 |
2,856 |
2,830 |
$176K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,563 |
2,557 |
$107K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,933 |
1,923 |
$23K |
| E0570 |
Nebulizer, with compressor |
850 |
841 |
$19K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
65 |
64 |
$13K |
| 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) |
86 |
86 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
188 |
188 |
$6K |
| K0003 |
Lightweight wheelchair |
173 |
173 |
$5K |
| A7035 |
Headgear used with positive airway pressure device |
203 |
198 |
$3K |
| A7037 |
Tubing used with positive airway pressure device |
167 |
163 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
442 |
413 |
$2K |
| A7030 |
Full face mask used with positive airway pressure device, each |
40 |
39 |
$2K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
26 |
25 |
$961.47 |
| A4670 |
Automatic blood pressure monitor |
12 |
12 |
$513.98 |
| A7031 |
Face mask interface, replacement for full face mask, each |
16 |
13 |
$455.72 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
16 |
16 |
$243.33 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
14 |
14 |
$74.14 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
69 |
68 |
$58.19 |
| A7015 |
Aerosol mask, used with dme nebulizer |
15 |
15 |
$14.86 |