| 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 |
25,211 |
22,798 |
$842K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14,420 |
12,987 |
$292K |
| E0601 |
Continuous positive airway pressure (cpap) device |
2,040 |
1,731 |
$34K |
| E0570 |
Nebulizer, with compressor |
5,495 |
5,005 |
$20K |
| K0001 |
Standard wheelchair |
2,132 |
1,694 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,131 |
947 |
$13K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
3,639 |
3,298 |
$10K |
| A7031 |
Face mask interface, replacement for full face mask, each |
531 |
440 |
$8K |
| A7037 |
Tubing used with positive airway pressure device |
1,011 |
926 |
$6K |
| A7030 |
Full face mask used with positive airway pressure device, each |
213 |
183 |
$6K |
| E1392 |
Portable oxygen concentrator, rental |
702 |
630 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
441 |
374 |
$3K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
203 |
196 |
$3K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
53 |
51 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,088 |
967 |
$836.87 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
60 |
52 |
$566.78 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
14 |
12 |
$478.80 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
93 |
88 |
$447.26 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
15 |
12 |
$430.66 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
24 |
24 |
$301.69 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
16 |
13 |
$31.95 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
13 |
13 |
$12.72 |