| 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 |
5,855 |
5,054 |
$252K |
| 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) |
791 |
692 |
$58K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
4,079 |
3,599 |
$40K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
778 |
710 |
$26K |
| E0601 |
Continuous positive airway pressure (cpap) device |
663 |
609 |
$21K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,601 |
1,444 |
$15K |
| E0570 |
Nebulizer, with compressor |
326 |
300 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
163 |
152 |
$5K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
147 |
132 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
144 |
134 |
$2K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
199 |
177 |
$607.35 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
13 |
$23.25 |