| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
4,848 |
4,625 |
$232K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
2,686 |
2,675 |
$176K |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,088 |
2,081 |
$120K |
| E0570 |
Nebulizer, with compressor |
7,583 |
6,981 |
$105K |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,602 |
1,587 |
$54K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,730 |
1,661 |
$53K |
| A7037 |
Tubing used with positive airway pressure device |
1,701 |
1,694 |
$27K |
| A7035 |
Headgear used with positive airway pressure device |
2,205 |
2,195 |
$26K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,403 |
2,334 |
$12K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
562 |
557 |
$7K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
796 |
790 |
$7K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
159 |
159 |
$6K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
221 |
220 |
$4K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
87 |
82 |
$4K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
258 |
244 |
$3K |
| K0001 |
Standard wheelchair |
153 |
148 |
$3K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
273 |
270 |
$1K |
| E1028 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
133 |
110 |
$577.20 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
68 |
68 |
$296.22 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
71 |
70 |
$116.92 |
| A7015 |
Aerosol mask, used with dme nebulizer |
42 |
42 |
$44.12 |