| 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 |
3,666 |
3,657 |
$181K |
| E0570 |
Nebulizer, with compressor |
2,107 |
2,105 |
$83K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,685 |
1,685 |
$65K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,656 |
2,649 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
861 |
861 |
$22K |
| 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) |
121 |
121 |
$18K |
| A7030 |
Full face mask used with positive airway pressure device, each |
312 |
311 |
$14K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
182 |
182 |
$9K |
| A7035 |
Headgear used with positive airway pressure device |
471 |
471 |
$6K |
| K0001 |
Standard wheelchair |
369 |
369 |
$5K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
115 |
115 |
$4K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
628 |
626 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
959 |
957 |
$3K |
| A7031 |
Face mask interface, replacement for full face mask, each |
140 |
137 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
231 |
230 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
26 |
26 |
$543.93 |
| A7037 |
Tubing used with positive airway pressure device |
14 |
14 |
$405.77 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
151 |
151 |
$393.47 |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
12 |
12 |
$278.99 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
133 |
132 |
$174.14 |