| 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 |
15,972 |
11,376 |
$611K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,895 |
2,982 |
$202K |
| E0601 |
Continuous positive airway pressure (cpap) device |
7,093 |
5,117 |
$183K |
| A7031 |
Face mask interface, replacement for full face mask, each |
4,729 |
3,760 |
$151K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
11,876 |
8,903 |
$112K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,297 |
2,515 |
$99K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
7,519 |
5,753 |
$92K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,020 |
1,595 |
$65K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
2,935 |
2,211 |
$47K |
| A7035 |
Headgear used with positive airway pressure device |
4,327 |
3,367 |
$47K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
10,416 |
8,444 |
$45K |
| A7037 |
Tubing used with positive airway pressure device |
4,155 |
3,259 |
$44K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
1,562 |
1,190 |
$33K |
| E0570 |
Nebulizer, with compressor |
4,015 |
2,965 |
$31K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
3,128 |
2,440 |
$15K |
| K0001 |
Standard wheelchair |
1,616 |
1,176 |
$14K |
| 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) |
154 |
97 |
$7K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
246 |
180 |
$7K |
| E1392 |
Portable oxygen concentrator, rental |
1,293 |
963 |
$5K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
30 |
28 |
$546.61 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
12 |
$27.96 |