| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
4,987 |
4,956 |
$210K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,294 |
3,274 |
$195K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,676 |
1,641 |
$79K |
| 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) |
481 |
480 |
$63K |
| K0001 |
Standard wheelchair |
1,698 |
1,687 |
$57K |
| A7030 |
Full face mask used with positive airway pressure device, each |
749 |
740 |
$41K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
655 |
651 |
$35K |
| A7035 |
Headgear used with positive airway pressure device |
1,537 |
1,526 |
$34K |
| 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 |
1,503 |
1,500 |
$31K |
| A7037 |
Tubing used with positive airway pressure device |
1,285 |
1,279 |
$26K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
2,306 |
2,281 |
$24K |
| A7031 |
Face mask interface, replacement for full face mask, each |
272 |
266 |
$12K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
192 |
190 |
$8K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
294 |
292 |
$8K |
| E0570 |
Nebulizer, with compressor |
335 |
334 |
$6K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
483 |
480 |
$5K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
249 |
248 |
$4K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
66 |
66 |
$4K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
15 |
14 |
$674.77 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$266.92 |
| A7036 |
Chinstrap used with positive airway pressure device |
12 |
12 |
$123.84 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
13 |
13 |
$77.78 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
12 |
12 |
$7.57 |